Active NPI
Richard Darrin Belsky, D.C.
- Sports Physician Chiropractor
- San Diego, CA
National Provider Identifier
1518955830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC22586
- Practice address
- 12264 El Camino Real
Suite 108
San Diego, CA 92130-3058 - Phone
- (858) 481-0303
- Fax
- (858) 481-9797
- NPI assigned
- Oct 11, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC22586 | CA | Primary |
Addresses
Primary practice location
12264 El Camino Real
Suite 108
San Diego, CA 92130-3058
Mailing address
12264 El Camino Real
Suite 108
San Diego, CA 92130-3058
Phone (858) 481-0303
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC22586 | Other | CA | BLUE CROSS |
| DC 22586 | Other | CA | STATE LICENSE |
| ZZZ05405Z | Other | CA | BLUE SHIELD |
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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sports Physician Chiropractor
- San Diego, CA
- NPI 1013132661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518955830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12264 EL CAMINO REAL",
"address_2": "SUITE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303058",
"telephone_number": "858-481-0303",
"fax_number": "858-481-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12264 EL CAMINO REAL",
"address_2": "SUITE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303058",
"telephone_number": "858-481-0303",
"fax_number": "858-481-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELSKY",
"first_name": "RICHARD",
"middle_name": "DARRIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC22586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "DC22586",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DC 22586",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ05405Z",
"state": "CA"
}
],
"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 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.