San Diego Physical Medicine, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SAN DIEGO PHYSICAL MEDICINE, INC.

Practice address

816 Paseo del Rey
Chula Vista, CA 91910-7835

Phone

(619) 869-8900

NPI assigned

Sep 28, 2015

Last updated

Sep 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett Allan Jr., DCNPI 1487738563

Title

President

Phone

(619) 990-0543

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Kellett Allan Jr., DC

  • Chiropractor
  • San Diego, CA
  • NPI 1487738563
  Authorized official Same address or phone

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1679943179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 LAGO DI GRATA CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921308601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 PASEO DEL REY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107835",
            "telephone_number": "619-869-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO PHYSICAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-990-0543",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Diego Imaging-Chula Vista LLC
• San Diego Neurosurgery and Spine Institute
• San Diego Orthopedics
• San Diego Pace, LLC (San Diego PACE Chula Vista)
• San Diego Pediatrics & Family Medical Clinic
• San Diego Psychiatric Services Inc
• San Diego Radiology Medical Group, Inc.
• San Diego Spine & Sport, Inc (South Bay Spine & Sport)
• San Diego Treatment Services, LLC (Third Avenue Clinic)
• San Diego Vamc

• Physical Medicine & Rehabilitation Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.