Organization Active NPI

Cafagna Chiropractic Inc

  • Chiropractor
  • San Marcos, CA
National Provider Identifier
1669651956
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16673 Issued in CA
Legal business name
CAFAGNA CHIROPRACTIC INC
Practice address
456 E Mission Rd # 100
San Marcos, CA 92069-8803
Phone
(760) 410-2373
Fax
(760) 410-2374
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Mark William Cafagna Sr., D.C.NPI 1538239348
Title
President
Phone
(760) 410-2373

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 DC16673 CA Primary

Addresses

Primary practice location

456 E Mission Rd # 100
San Marcos, CA 92069-8803

Mailing address

456 E Mission Rd # 100
San Marcos, CA 92069-8803
Phone (760) 410-2373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060428000365 CA Part B Supplier - Clinic/Group Practice 8527078971 Receives reassigned benefits from 1 practitioner
Practice locations: San Marcos, CA

National Provider Directory

National Provider Directory

Locations

100 N Rancho Santa Fe Rd
Ste 129
San Marcos, CA 92069
Phone (760) 410-2373

Practitioners & affiliated clinicians

Practitioners 1

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": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1669651956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 E MISSION RD # 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920698803",
            "telephone_number": "760-410-2373",
            "fax_number": "760-410-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 E MISSION RD # 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920698803",
            "telephone_number": "760-410-2373",
            "fax_number": "760-410-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAFAGNA CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "CAFAGNA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-410-2373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.