Organization Active NPI

Mario Mojica Chiropractic Inc.

Doing business as Wellness For Life

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1790909059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27130 Issued in CA
Legal business name
MARIO MOJICA CHIROPRACTIC INC.
Doing business as
Wellness For Life
Practice address
4141 Jutland Dr
Suite 130
San Diego, CA 92117-3662
Phone
(858) 274-2755
Fax
(858) 274-2710
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mario Mojica, D.C.
Title
Chiropractor
Phone
(858) 274-2755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27130 CA Primary

Addresses

Primary practice location

4141 Jutland Dr
Suite 130
San Diego, CA 92117-3662

Mailing address

4141 Jutland Dr
Suite 130
San Diego, CA 92117-3662
Phone (858) 274-2755

Other names 1

  • Wellness For Life Doing business as

National Provider Directory

National Provider Directory

Locations

4141 Jutland Dr
Ste 130
San Diego, CA 92117
Phone (858) 274-2755

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790909059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 JUTLAND DR",
            "address_2": "SUITE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173662",
            "telephone_number": "858-274-2755",
            "fax_number": "858-274-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 JUTLAND DR",
            "address_2": "SUITE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173662",
            "telephone_number": "858-274-2755",
            "fax_number": "858-274-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO MOJICA CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOJICA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "858-274-2755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness For Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.