Individual provider Active NPI

Warren Patch, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1639249030
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC14717 Issued in CA
Practice address
1952 Sunset Cliffs Blvd
San Diego, CA 92107-2824
Phone
(619) 224-3301
Fax
(619) 224-3302
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC14717 CA Primary

Addresses

Primary practice location

1952 Sunset Cliffs Blvd
San Diego, CA 92107-2824

Mailing address

1952 Sunset Cliffs Blvd
San Diego, CA 92107-2824
Phone (619) 224-3301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000248 CA Practitioner - Chiropractic 3072686161 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1952 Sunset Cliffs Blvd
San Diego, CA 92107-2824
Phone (619) 224-3301

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1639249030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 SUNSET CLIFFS BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072824",
            "telephone_number": "619-224-3301",
            "fax_number": "619-224-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 SUNSET CLIFFS BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072824",
            "telephone_number": "619-224-3301",
            "fax_number": "619-224-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCH",
        "first_name": "WARREN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14717",
            "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 23, 2017; 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.