Organization Active NPI

Bradshaw Rutledge Chiropractic Inc.

Doing business as Decompression & Cold Laser Center of San Diego

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1568689537
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27360 Issued in CA
Legal business name
BRADSHAW RUTLEDGE CHIROPRACTIC INC.
Doing business as
Decompression & Cold Laser Center of San Diego
Practice address
2727 Camino del Rio S Ste 140
San Diego, CA 92108-3739
Phone
(619) 270-8111
Fax
(619) 683-3188
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hilary Joyce Rutledge, DCNPI 1730229873
Title
Officer
Phone
(619) 270-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27360 CA Primary

Addresses

Primary practice location

2727 Camino del Rio S Ste 140
San Diego, CA 92108-3739

Mailing address

2727 Camino del Rio S Ste 140
San Diego, CA 92108-3739
Phone (619) 270-8111

Other names 1

  • Decompression & Cold Laser Center of San Diego Doing business as

National Provider Directory

National Provider Directory

Locations

2727 Camino del Rio S
Ste 140
San Diego, CA 92108
Phone (619) 270-8111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568689537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 CAMINO DEL RIO S STE 140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083739",
            "telephone_number": "619-270-8111",
            "fax_number": "619-683-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 CAMINO DEL RIO S STE 140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083739",
            "telephone_number": "619-270-8111",
            "fax_number": "619-683-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADSHAW RUTLEDGE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "619-270-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decompression & Cold Laser Center of San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.