Michael R Sardone, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

13667 Issued in CA

Practice address

12865 Pointe del Mar Way
Ste 120
Del Mar, CA 92014-3860

Phone

(866) 355-8288

Fax

(866) 355-8288

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1497866768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 CARMEL MOUNTAIN RD",
            "address_2": "STE 308-417",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306650",
            "telephone_number": "866-355-8288",
            "fax_number": "866-355-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12865 POINTE DEL MAR WAY",
            "address_2": "STE 120",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143860",
            "telephone_number": "866-355-8288",
            "fax_number": "866-355-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDONE",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "13667",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "13667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Chiropractor in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Nutrition Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.