Individual provider Active NPI

Kristy Cadava, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1730284035
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
22976 Issued in CA
Practice address
1676 Palm Ave
San Diego, CA 92154-1027
Phone
(619) 423-3217
Fax
(619) 423-8619
NPI assigned
Sep 13, 2006
Last updated
Feb 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 22976 CA Primary

Addresses

Primary practice location

1676 Palm Ave
San Diego, CA 92154-1027

Mailing address

1676 Palm Ave
San Diego, CA 92154-1027
Phone (619) 423-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000219 CA Practitioner - Chiropractic 8022195882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1676 Palm Ave
San Diego, CA 92154-1027
Phone (619) 423-3217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kristy Cadava, D.C. a Chiropractic Corporation Chiropractor CurrentSince Jan 1, 1995 Accepting new patients

Locations

1676 Palm Ave
San Diego, CA 92154
Phone (619) 423-3217

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1730284035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 PALM AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541027",
            "telephone_number": "619-423-3217",
            "fax_number": "619-423-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 PALM AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541027",
            "telephone_number": "619-423-3217",
            "fax_number": "619-423-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADAVA",
        "first_name": "KRISTY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22976",
            "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 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.