Organization Active NPI

Optimum Fitness & Health

  • Chiropractor
  • La Jolla, CA
National Provider Identifier
1730322207
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC13319 Issued in CA
Legal business name
OPTIMUM FITNESS & HEALTH
Practice address
7744 Fay Ave
Ste 100
La Jolla, CA 92037-4313
Phone
(858) 459-0180
Fax
(858) 459-4858
NPI assigned
Apr 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Felicia Thomas, BILLING SPECIALIST
Title
Billing Manager
Phone
(858) 943-1814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC13319 CA Primary

Addresses

Primary practice location

7744 Fay Ave
Ste 100
La Jolla, CA 92037-4313

Mailing address

7744 Fay Ave
Ste 100
La Jolla, CA 92037-4313
Phone (858) 459-0180

National Provider Directory

National Provider Directory

Locations

7744 Fay Ave
Ste 100
La Jolla, CA 92037
Phone (858) 459-0180

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1730322207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7744 FAY AVE",
            "address_2": "STE 100",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374313",
            "telephone_number": "858-459-0180",
            "fax_number": "858-459-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7744 FAY AVE",
            "address_2": "STE 100",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374313",
            "telephone_number": "858-459-0180",
            "fax_number": "858-459-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM FITNESS & HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "858-943-1814",
        "authorized_official_credential": "BILLING SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.