100 Chiropractic Grant del Sur Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

100 CHIROPRACTIC GRANT DEL SUR INC

Practice address

16490 Paseo del Sur Ste 115
San Diego, CA 92127-4203

Phone

(858) 524-1091

NPI assigned

May 27, 2025

Organization subpart

No

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

Authorized official

Name

Jacqueline Grant, DCNPI 1700178837

Title

Owner

Phone

(858) 524-1091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Grant, D.C.

  • Chiropractor
  • Chula Vista, CA
  • NPI 1700178837

  CA, Chiropractor

  Medicare reassignment NPD Authorized official
• Tiffany Rose Duffy, DC

  • Chiropractor
  • San Diego, CA
  • NPI 1679250765
  NPD
• Sara McHardy Hines, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1053844621
  NPD
• Michael Stephen Surovi, DC

  • Chiropractor
  • San Diego, CA
  • NPI 1821788456
  NPD
• Parisa Hosseini, DC

  • Chiropractor
  • Mission Viejo, CA
  • NPI 1801475124
  NPD (past)
• Shae Lynn Tonn, DC

  • Chiropractor
  • San Diego, CA
  • NPI 1851218358
  NPD (past)

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1699568147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16490 PASEO DEL SUR STE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274203",
            "telephone_number": "858-524-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16490 PASEO DEL SUR STE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274203",
            "telephone_number": "858-524-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIROPRACTIC GRANT DEL SUR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-524-1091",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1 True Health - California PC
• 100 Chiro del Sur, LLC
• 100 Chiropractic LJ Livingood Apc
• 1918 Winter Street Operating Co LLC
• 1918 Winter Street Operating Co LLC
• 1918 Winter Street Operating Co LLC
• 1St Call Nursing Services, Inc.

• All providers in San Diego, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.