Individual provider Active NPI

Ivana Sava Nedic, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1528051281
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29708 Issued in CA
Practice address
10805 Rancho Bernardo Rd Ste 110
San Diego, CA 92127-5702
Phone
(858) 674-6400
Fax
(858) 674-6498
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 29708 CA Primary

Addresses

Primary practice location

10805 Rancho Bernardo Rd Ste 110
San Diego, CA 92127-5702

Mailing address

10805 Rancho Bernardo Rd Ste 110
San Diego, CA 92127-5702
Phone (858) 674-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070619000474 CA Practitioner - Chiropractic 5496854366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nedic and Sutter Chiropractic CorpGroup PAC ID 1052410925, 2 clinicians

Practice addresses (Care Compare)

10805 Rancho Bernardo Rd
Suite 110
San Diego, CA 92127-5702
Phone (858) 674-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29708CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Nedic & Sutter Chiropractic Corp Chiropractor CurrentSince Apr 15, 2007 Accepting new patients

Locations

10805 Rancho Bernardo Rd
Ste 110
San Diego, CA 92127
Phone (858) 674-6400

10175 Rancho Carmel Dr
Ste 116
San Diego, CA 92128
Phone (858) 674-6400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1528051281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 RANCHO BERNARDO RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275702",
            "telephone_number": "858-674-6400",
            "fax_number": "858-674-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 RANCHO BERNARDO RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275702",
            "telephone_number": "858-674-6400",
            "fax_number": "858-674-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDIC",
        "first_name": "IVANA",
        "middle_name": "SAVA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29708",
            "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 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.