Active NPI
Deluca Mull Chiropractic Kinetic Impact Rehab and Performance Inc
- Chiropractor
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- DELUCA MULL CHIROPRACTIC KINETIC IMPACT REHAB AND PERFORMANCE INC
- Practice address
- 10806 Willow CT Ste 2
San Diego, CA 92127-2428 - Phone
- (619) 695-0688
- NPI assigned
- Jun 27, 2022
- Last updated
- Jun 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Mull, DC
- Title
- Co-Founder
- Phone
- (928) 208-1067
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
10806 Willow CT Ste 2
San Diego, CA 92127-2428
Mailing address
10806 Willow CT Ste 2
San Diego, CA 92127-2428
National Provider Directory
National Provider DirectoryLocations
10806 Willow Ct
Ste 2
San Diego, CA 92127
Phone (619) 695-0688
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rehabilitation Chiropractor
- San Diego, CA
- NPI 1942728464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656288000000",
"number": "1437881679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10806 WILLOW CT STE 2",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921272428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10806 WILLOW CT STE 2",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921272428",
"telephone_number": "619-695-0688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELUCA MULL CHIROPRACTIC KINETIC IMPACT REHAB AND PERFORMANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-27",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A",
"authorized_official_last_name": "MULL",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "CO-FOUNDER",
"authorized_official_telephone_number": "928-208-1067",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.