Active NPI
Stephanie Dargis
- Chiropractor
- Chula Vista, CA
National Provider Identifier
1710723291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36989
- Practice address
- 1351 Medical Center Dr Suite a
Chula Vista, CA 91911 - Phone
- (619) 305-2200
- NPI assigned
- Jul 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC36989 | CA | Primary |
Addresses
Primary practice location
1351 Medical Center Dr Suite a
Chula Vista, CA 91911
Mailing address
3847 Midway Dr Apt 203
San Diego, CA 92110-5219
Phone (510) 695-3287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36989 | CA | MD | Chiropractor |
| 36989 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1710723291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3847 MIDWAY DR APT 203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105219",
"telephone_number": "510-695-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 MEDICAL CENTER DR SUITE A",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91911",
"telephone_number": "619-305-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARGIS",
"first_name": "STEPHANIE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-03",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.