Organization Active NPI

Medizen Heatlh & Wellness

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1689358145
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MEDIZEN HEATLH & WELLNESS
Practice address
5955 Mira Mesa Blvd Ste B
San Diego, CA 92121-4304
Phone
(858) 230-6384
Fax
(858) 408-3654
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Authorized official

Name
Dr. Michael Dewayne Scott, DCNPI 1477952471
Title
Director
Phone
(408) 858-7438

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

5955 Mira Mesa Blvd Ste B
San Diego, CA 92121-4304

Mailing address

5955 Mira Mesa Blvd Ste B
San Diego, CA 92121-4304
Phone (858) 230-6384

National Provider Directory

National Provider Directory

Locations

5955 Mira Mesa Blvd
Ste B
San Diego, CA 92121
Phone (858) 230-6384

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": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726358400000",
    "number": "1689358145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 MIRA MESA BLVD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214304",
            "telephone_number": "858-230-6384",
            "fax_number": "858-408-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 MIRA MESA BLVD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214304",
            "telephone_number": "858-230-6384",
            "fax_number": "858-408-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIZEN HEATLH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-858-7438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 15, 2024; 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.