Organization Active NPI

Ehlers Chiropractic Inc

Doing business as Elite Performance Chiropractic

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1578157673
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EHLERS CHIROPRACTIC INC
Doing business as
Elite Performance Chiropractic
Practice address
9235 Activity Rd Ste 108
San Diego, CA 92126-4440
Phone
(858) 564-8398
Fax
(858) 408-3419
NPI assigned
Mar 1, 2021
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Dr. Travis Ehlers, DCNPI 1881606226
Title
Owner
Phone
(858) 564-8398

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 NU Primary

Addresses

Primary practice location

9235 Activity Rd Ste 108
San Diego, CA 92126-4440

Mailing address

9235 Activity Rd Ste 108
San Diego, CA 92126-4440
Phone (858) 564-8398

Other names 1

  • Elite Performance Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240618002668 CA Part B Supplier - Clinic/Group Practice 0042753097 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

9235 Activity Rd
Ste 108
San Diego, CA 92126
Phone (858) 564-8398

Practitioners & affiliated clinicians

Practitioners 2

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": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1578157673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 ACTIVITY RD STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264440",
            "telephone_number": "858-564-8398",
            "fax_number": "858-408-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 ACTIVITY RD STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264440",
            "telephone_number": "858-564-8398",
            "fax_number": "858-408-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHLERS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "EHLERS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-564-8398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Performance Chiropractic",
            "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 Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.