Organization Active NPI

Plutchok Chiropractic & Wellness Inc

  • Sports Physician Chiropractor
  • San Diego, CA
National Provider Identifier
1760778062
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC30994 Issued in CA
Legal business name
PLUTCHOK CHIROPRACTIC & WELLNESS INC
Practice address
4510 Executive Dr
Plaza 5
San Diego, CA 92121-3021
Phone
(858) 452-3734
Fax
(858) 452-6666
NPI assigned
Jun 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Dr. Todd Plutchok, D.C.NPI 1023265519
Title
Ceo
Phone
(858) 452-3734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X DC30994 CA Primary

Addresses

Primary practice location

4510 Executive Dr
Plaza 5
San Diego, CA 92121-3021

Mailing address

4510 Executive Dr
Plaza 5
San Diego, CA 92121-3021
Phone (858) 452-3734

National Provider Directory

National Provider Directory

Locations

4510 Executive Dr
#5
San Diego, CA 92121
Phone (858) 452-3734

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1760778062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR",
            "address_2": "PLAZA 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213021",
            "telephone_number": "858-452-3734",
            "fax_number": "858-452-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR",
            "address_2": "PLAZA 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213021",
            "telephone_number": "858-452-3734",
            "fax_number": "858-452-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUTCHOK CHIROPRACTIC & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "PLUTCHOK",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-452-3734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC30994",
            "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 Jun 24, 2011; 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.