Christian Jacob Del Rosario, ND

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

License

ND1417 Issued in CA

Practice address

1412 Camino del Mar
Del Mar, CA 92014-2551

Phone

(858) 461-0057

NPI assigned

Apr 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1669169306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ISLAND AVE APT 1800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017963",
            "telephone_number": "818-357-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 CAMINO DEL MAR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142551",
            "telephone_number": "858-461-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ROSARIO",
        "first_name": "CHRISTIAN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "CA",
            "license": "ND1417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Del Mar Medical Clinic
• Del Mar Optometric Group
• Del Mar Physical Therapy, Inc
• Del Mar Psychiatric Center
• Del Mar Village Physical Therapy Inc.
• Lanny M Deremer, PHARMD BCGP
• Dermatology & Laser of del Mar
• Dermatology and Laser of del Mar
• Michelle Detsch, PSY.D.
• Jacquelyn Khanh-Phuong DO, D.D.S.

• All providers in Del Mar, CA
• Integrative Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.