Ivan George Semerdjiev, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32247 Issued in CA

Practice address

6244 El Cajon Blvd
Suite 5
San Diego, CA 92115-3918

Phone

(619) 326-0606

Fax

(619) 326-0626

NPI assigned

Mar 20, 2012

Last updated

Mar 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prime Chiropractic Group

  • Chiropractor
  • San Diego, CA
  • NPI 1619202017
  NPD (past)

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1699040865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6244 EL CAJON BLVD",
            "address_2": "SUITE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153918",
            "telephone_number": "619-326-0606",
            "fax_number": "619-326-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6244 EL CAJON BLVD",
            "address_2": "SUITE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153918",
            "telephone_number": "619-326-0606",
            "fax_number": "619-326-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMERDJIEV",
        "first_name": "IVAN",
        "middle_name": "GEORGE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen R Selzer, M.D.
• Naudia Sem
• Avena Semanisin
• Semca Pharmacy
• Charmaine I Semeniuk, M.D.
• Meghan Thomas Semler, LMFT
• Joseph Semmel, PMHNP-BC
• Julia Corrin Semmelroth
• Robert J Semo, MD
• Cory R Semonsen, SLP-CF

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.