Active NPI
Medizen Heatlh & Wellness
- Chiropractor
- San Diego, CA
National Provider Identifier
1689358145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Dewayne Scott, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Acupuncturist | 171100000X | |||
| Naturopath | 175F00000X | |||
| Massage Therapist | 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 DirectoryLocations
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.
-
- Chiropractor
- San Diego, CA
- NPI 1477952471
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.