Leo John Meltvedt Jr DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26574 Issued in CA

Legal business name

LEO JOHN MELTVEDT JR DC

Practice address

4202 Adams Ave
San Diego, CA 92116-2516

Phone

(619) 521-3151

Fax

(619) 516-3846

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leo John Meltvedt Jr., D.C.

Title

Chiropractor Owner

Phone

(619) 521-3151

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1811030778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 ADAMS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162516",
            "telephone_number": "619-521-3151",
            "fax_number": "619-516-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 ADAMS AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162516",
            "telephone_number": "619-521-3151",
            "fax_number": "619-516-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO JOHN MELTVEDT JR DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "MELTVEDT",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "619-521-3151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "DC0265740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Lynn Lentz
• Alexis Lenz
• Kyler Makua Lenz
• Christiane Lenzen, M.D.
• Brian Joseph Lenzkes, M.D.
• Christopher Randall Leo, PT, DPT, CSCS
• Ming Leo, PHARMD
• Maribel Leon - Rubalcava, BCBA
• Leon Fajerman
• Mariana Leon Garcia

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.