Organization Active NPI

Nedic & Sutter Chiropractic Corp

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1649494626
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29627 Issued in CA
Legal business name
NEDIC & SUTTER CHIROPRACTIC CORP
Practice address
10805 Rancho Bernardo Rd Ste 110
San Diego, CA 92127-5702
Phone
(858) 674-6400
Fax
(858) 674-6498
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Cameron Edward Sutter, D.C.NPI 1710979380
Title
Vice President
Phone
(858) 674-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC29627 CA Primary

Addresses

Primary practice location

10805 Rancho Bernardo Rd Ste 110
San Diego, CA 92127-5702

Mailing address

10805 Rancho Bernardo Rd Ste 110
San Diego, CA 92127-5702
Phone (858) 674-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070619000419 CA Part B Supplier - Clinic/Group Practice 1052410925 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

10805 Rancho Bernardo Rd
Ste 110
San Diego, CA 92127
Phone (858) 674-6400

10175 Rancho Carmel Dr
Ste 116
San Diego, CA 92128
Phone (858) 674-6400

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1649494626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 RANCHO BERNARDO RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275702",
            "telephone_number": "858-674-6400",
            "fax_number": "858-674-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 RANCHO BERNARDO RD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275702",
            "telephone_number": "858-674-6400",
            "fax_number": "858-674-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDIC & SUTTER CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "858-674-6400",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29627",
            "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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.