Organization Active NPI

Mayo Chiropractic Inc

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1639545247
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33367 Issued in CA
Legal business name
MAYO CHIROPRACTIC INC
Practice address
2180 Garnet Ave
Ste 3D
San Diego, CA 92109
Phone
(619) 693-6389
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Emily Mayo, DC
Title
Owner, Chiropractor
Phone
(619) 693-6389

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 33367 CA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIR009517 GA

Addresses

Primary practice location

2180 Garnet Ave
Ste 3D
San Diego, CA 92109

Mailing address

2180 Garnet Ave
Ste 3D
San Diego, CA 92109
Phone (619) 693-6389

National Provider Directory

National Provider Directory

Locations

2180 Garnet Ave
Ste 3D
San Diego, CA 92109
Phone (619) 693-6389

Practitioners & affiliated clinicians

Practitioners 2

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": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1639545247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 GARNET AVE",
            "address_2": "STE 3D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "619-693-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 GARNET AVE",
            "address_2": "STE 3D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "619-693-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "619-693-6389",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33367",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009517",
            "primary": false
        }
    ],
    "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 Mar 6, 2019; 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.