Organization Active NPI

Prime Chiropractic Group

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1619202017
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRIME CHIROPRACTIC GROUP
Practice address
6244 El Cajon Blvd
Suite 5
San Diego, CA 92115-3918
Phone
(619) 326-0606
Fax
(619) 326-0626
NPI assigned
Oct 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Authorized official

Name
Homayoun David Hamidi, D.C.
Title
Partner
Phone
(714) 863-6196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6244 El Cajon Blvd
Suite 5
San Diego, CA 92115-3918

Mailing address

6244 El Cajon Blvd
Suite 5
San Diego, CA 92115-3918
Phone (619) 326-0606

National Provider Directory

National Provider Directory

Locations

6244 El Cajon Blvd
Ste 5
San Diego, CA 92115
Phone (619) 326-0606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1619202017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6244 EL CAJON BLVD",
            "address_2": "SUITE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153918",
            "telephone_number": "619-326-0606",
            "fax_number": "619-326-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6244 EL CAJON BLVD",
            "address_2": "SUITE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153918",
            "telephone_number": "619-326-0606",
            "fax_number": "619-326-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CHIROPRACTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "HAMIDI",
        "authorized_official_first_name": "HOMAYOUN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "714-863-6196",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Oct 2, 2009; 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.