Organization Active NPI

MW Spinal Care

  • Preferred Provider Organization
  • Encinitas, CA
National Provider Identifier
1427494905
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
31327 Issued in CA
Legal business name
MW SPINAL CARE
Practice address
345 S Coast Highway 101
Suite L
Encinitas, CA 92024-3551
Phone
(330) 501-4489
NPI assigned
May 10, 2013
Last updated
May 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Wasilisin, D.C.
Title
Owner
Phone
(330) 501-4489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 31327 CA Primary

Addresses

Primary practice location

345 S Coast Highway 101
Suite L
Encinitas, CA 92024-3551

Mailing address

1500 Shadowridge Dr
Apt. 145
Vista, CA 92081-9041

National Provider Directory

National Provider Directory

Locations

345 S Coast Highway 101
Ste L
Encinitas, CA 92024
Phone (330) 501-4489

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1427494905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHADOWRIDGE DR",
            "address_2": "APT. 145",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920819041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S COAST HIGHWAY 101",
            "address_2": "SUITE L",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243551",
            "telephone_number": "330-501-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MW SPINAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "WASILISIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-501-4489",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "31327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.