Individual provider Active NPI

Teresa Yvonne Kosycarz, DC

  • Chiropractor
  • Murrieta, CA
National Provider Identifier
1477567915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21392 Issued in CA
Practice address
39872 Los Alamos Rd
A-8
Murrieta, CA 92562-5871
Phone
(951) 698-4034
Fax
(951) 698-5076
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC21392 CA Primary

Addresses

Primary practice location

39872 Los Alamos Rd
A-8
Murrieta, CA 92562-5871

Mailing address

39872 Los Alamos Rd
A-8
Murrieta, CA 92562-5871
Phone (951) 698-4034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC21392CAMDChiropractor
21392CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477567915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39872 LOS ALAMOS RD",
            "address_2": "A-8",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625871",
            "telephone_number": "951-698-4034",
            "fax_number": "951-698-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39872 LOS ALAMOS RD",
            "address_2": "A-8",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625871",
            "telephone_number": "951-698-4034",
            "fax_number": "951-698-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSYCARZ",
        "first_name": "TERESA",
        "middle_name": "YVONNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.