Active NPI
Michael Thomas Lagueux II, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1790062784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32118
- Practice address
- 10371 Camino Ruiz
#82
San Diego, CA 92126-3292 - Phone
- (408) 332-7961
- NPI assigned
- Nov 4, 2011
- Sex
- Male
- 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 | 32118 | CA | Primary |
Addresses
Primary practice location
10371 Camino Ruiz
#82
San Diego, CA 92126-3292
Mailing address
10371 Camino Ruiz
#82
San Diego, CA 92126-3292
Phone (408) 332-7961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161212001932 | CA | Practitioner - Chiropractic | 1153601059 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1790062784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10371 CAMINO RUIZ",
"address_2": "#82",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921263292",
"telephone_number": "408-332-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10371 CAMINO RUIZ",
"address_2": "#82",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921263292",
"telephone_number": "408-332-7961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGUEUX",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32118",
"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 Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.