Active NPI
Kathryn Anne McCarthy, DC
- Chiropractor
- San Diego, CA
National Provider Identifier
1790379774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36339
- Practice address
- 5350 Riley St
San Diego, CA 92110-2621 - Phone
- (708) 543-9681
- NPI assigned
- Feb 21, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 36339 | CA | Primary |
Addresses
Primary practice location
5350 Riley St
San Diego, CA 92110-2621
Mailing address
5826 Lauretta St Apt 4
San Diego, CA 92110-1684
Phone (708) 543-9681
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 |
|---|---|---|---|
| 36339 | CA | MD | Physical Therapist |
Interoperability endpoints
- kathryn.mccarthy.1@29676.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1790379774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5826 LAURETTA ST APT 4",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921101684",
"telephone_number": "708-543-9681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 RILEY ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921102621",
"telephone_number": "708-543-9681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "KATHRYN",
"middle_name": "ANNE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-21",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "36339",
"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 Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.