Individual provider Active NPI

Michelle Hsu, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1821215930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28796 Issued in CA
Practice address
6540 Lusk Blvd
Ste C216
San Diego, CA 92121-2766
Phone
(858) 605-1603
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28796 CA Primary

Addresses

Primary practice location

6540 Lusk Blvd
Ste C216
San Diego, CA 92121-2766

Mailing address

6540 Lusk Blvd
Ste C216
San Diego, CA 92121-2766
Phone (858) 605-1603

Other identifiers 1

IdentifierTypeStateIssuer
DC28796OtherCACHIROPRACTIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140729001604 WA Practitioner - Chiropractic 2961391883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Color Chiropractic IncGroup PAC ID 6002240702, 2 clinicians

Practice addresses (Care Compare)

1200 Lakeway Dr
Suite 3
Bellingham, WA 98229-2034

2122 James St
Bellingham, WA 98225-4140
Phone (360) 922-0626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Color Chiropractic Inc Chiropractor CurrentSince Aug 2, 2018 Accepting new patients
Integrative Healing Dynamics Past Accepting new patients
Bellingham Bay Chiropractic, PLLC Chiropractor PastSince Oct 9, 2019 Accepting new patients
Chad Booth Chiropractic PC Chiropractor Past Accepting new patients

Locations

1200 Lakeway Dr
Ste 3
Bellingham, WA 98229
Phone (360) 599-7943

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821215930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 LUSK BLVD",
            "address_2": "STE C216",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212766",
            "telephone_number": "858-605-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 LUSK BLVD",
            "address_2": "STE C216",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212766",
            "telephone_number": "858-605-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC28796",
            "state": "CA"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.