Individual provider Active NPI

William Satnick, D.O.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1639282015
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15711 Issued in CA
Practice address
12880 Rancho Penasquitos Blvd Ste B
San Diego, CA 92129-2966
Phone
(858) 484-2000
Fax
(858) 484-3414
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15711 CA Primary

Addresses

Primary practice location

12880 Rancho Penasquitos Blvd Ste B
San Diego, CA 92129-2966

Mailing address

12880 Rancho Penasquitos Blvd Ste B
San Diego, CA 92129-2966
Phone (858) 484-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090129000409 CA Practitioner - Chiropractic 5698839066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Satnick Chiropractic IncGroup PAC ID 6103071162, 2 clinicians

Practice addresses (Care Compare)

12880 Rancho Penasquitos Blvd
Suite C
San Diego, CA 92129-2966
Phone (858) 484-2000

12880 Rancho Penasquitos Blvd B
San Diego, CA 92129-2966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Satnick Chiropractic Inc CurrentSince Nov 14, 2012 Accepting new patients

Locations

12880 Rancho Penasquitos Blvd
Ste C
San Diego, CA 92129
Phone (858) 484-2000

12880 Rancho Penasquitos Blvd
Ste B
San Diego, CA 92129
Phone (858) 484-2000

12880 Rancho Penasquitos Blvd
Ste C
San Diego, CA 92129
Phone (858) 484-2000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1639282015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 RANCHO PENASQUITOS BLVD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292966",
            "telephone_number": "858-484-2000",
            "fax_number": "858-484-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 RANCHO PENASQUITOS BLVD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292966",
            "telephone_number": "858-484-2000",
            "fax_number": "858-484-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATNICK",
        "first_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15711",
            "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 Dec 18, 2014; 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.