Active NPI
Richard A. Engel, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1629089388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC13772
- Practice address
- 4295 Gesner St.
1D
San Diego, CA 92117-6646 - Phone
- (619) 275-3680
- Fax
- (619) 275-6745
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC13772 | CA | Primary |
Addresses
Primary practice location
4295 Gesner St.
1D
San Diego, CA 92117-6646
Mailing address
4295 Gesner St.
1D
San Diego, CA 92117-6646
Phone (619) 275-3680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330266030 | Other | CA | EMPLOYER IDENTIFICATION N |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1629089388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4295 GESNER ST.",
"address_2": "1D",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176646",
"telephone_number": "619-275-3680",
"fax_number": "619-275-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4295 GESNER ST.",
"address_2": "1D",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176646",
"telephone_number": "619-275-3680",
"fax_number": "619-275-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEL",
"first_name": "RICHARD",
"middle_name": "A.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC13772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER IDENTIFICATION N",
"identifier": "330266030",
"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 Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.