Organization Active NPI

Milligan Chiropractic Group Inc

  • Sports Physician Chiropractor
  • San Diego, CA
National Provider Identifier
1700326451
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
32574 Issued in CA
Legal business name
MILLIGAN CHIROPRACTIC GROUP INC
Practice address
12264 El Camino Real
Suite 108
San Diego, CA 92130-3060
Phone
(858) 481-0303
Fax
(858) 481-9797
NPI assigned
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Brian Milligan, D.C.
Title
Owner
Phone
(858) 481-0303

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 32574 CA
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 32574 CA
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 32574 CA Primary

Addresses

Primary practice location

12264 El Camino Real
Suite 108
San Diego, CA 92130-3060

Mailing address

12264 El Camino Real
Suite 108
San Diego, CA 92130-3060
Phone (858) 481-0303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1700326451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL",
            "address_2": "SUITE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303060",
            "telephone_number": "858-481-0303",
            "fax_number": "858-481-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL",
            "address_2": "SUITE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303060",
            "telephone_number": "858-481-0303",
            "fax_number": "858-481-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIGAN CHIROPRACTIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-481-0303",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32574",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "32574",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "32574",
            "primary": true
        }
    ],
    "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 Feb 28, 2017; 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.