Oceanside Physical Medicine, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

OCEANSIDE PHYSICAL MEDICINE, INC.

Practice address

3772 Mission Ave Ste 120
Oceanside, CA 92058-1404

Phone

(760) 630-8400

NPI assigned

Jul 15, 2015

Last updated

Jul 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett AllanNPI 1487738563

Title

Clinic Director

Phone

(619) 990-0543

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Brett Kellett Allan Jr., DC

  • Chiropractor
  • San Diego, CA
  • NPI 1487738563
  Authorized official Same address or phone

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1801270251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 LAGO DI GRATA CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921308601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 MISSION AVE STE 120",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581404",
            "telephone_number": "760-630-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE PHYSICAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "619-990-0543"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oceanside Blvd Chiropractic
• Oceanside Dental Group
• Oceanside Diagnostics LLC
• Oceanside Foot & Ankle Center Inc.
• Oceanside Healthcare Staffing, Inc. (R&R Professional Healthcare Staffing, Inc.)
• Oceanside Physical Therapy P C
• Oceanside Radical Care Collective
• Oceanside Rest Home Inc
• Oceanside Therapy Group, Inc.
• Oceanside Urgent Care and Family Practice

• Physical Medicine & Rehabilitation Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.