Active NPI
Gregory C Nicosia, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1508244757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33036
- Practice address
- 3060 Suncrest Dr Unit 21
San Diego, CA 92116-1554 - Phone
- (503) 913-6568
- NPI assigned
- May 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33036 | CA | Primary |
Addresses
Primary practice location
3060 Suncrest Dr Unit 21
San Diego, CA 92116-1554
Mailing address
3060 Suncrest Dr Unit 21
San Diego, CA 92116-1554
Phone (503) 913-6568
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33036 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1508244757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 SUNCREST DR UNIT 21",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921161554",
"telephone_number": "503-913-6568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 SUNCREST DR UNIT 21",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921161554",
"telephone_number": "503-913-6568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOSIA",
"first_name": "GREGORY",
"middle_name": "C",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33036",
"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 May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.