Individual provider Active NPI

Nathan Beyerl, DC

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1669288734
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37142 Issued in CA
Practice address
4340 Genesee Ave Ste 201
San Diego, CA 92117-4940
Phone
(612) 385-5872
NPI assigned
Dec 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC37142 CA Primary

Addresses

Primary practice location

4340 Genesee Ave Ste 201
San Diego, CA 92117-4940

Mailing address

4340 Genesee Ave Ste 201
San Diego, CA 92117-4940
Phone (612) 385-5872

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402003289 CA Practitioner - Chiropractic 7517480247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4340 Genesee Ave
Suite 201
San Diego, CA 92117-4940
Phone (612) 385-5872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC37142CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Chiropractic Nathan Beyerl Corporation Chiropractor CurrentSince Mar 1, 2025 Accepting new patients

Locations

4340 Genesee Ave
Ste 201
San Diego, CA 92117
Phone (612) 385-5872

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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1669288734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 GENESEE AVE STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174940",
            "telephone_number": "612-385-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 GENESEE AVE STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174940",
            "telephone_number": "612-385-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYERL",
        "first_name": "NATHAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37142",
            "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 Mar 26, 2025; 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.