Organization Active NPI

Penasquitos Pointe Medical Group

  • General Practice Physician
  • San Diego, CA
National Provider Identifier
1821267212
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C37664 Issued in CA
Legal business name
PENASQUITOS POINTE MEDICAL GROUP
Practice address
12880 Rancho Penasquitos Blvd
Suite B
San Diego, CA 92129-2966
Phone
(858) 484-2000
Fax
(858) 484-3414
NPI assigned
Feb 29, 2008
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. William Satnick, D.C.NPI 1639282015
Title
Owner
Phone
(858) 484-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC15711 CA
Chiropractor 111N00000X DC15687 CA
General Practice Physician 208D00000X C37664 CA Primary

Addresses

Primary practice location

12880 Rancho Penasquitos Blvd
Suite B
San Diego, CA 92129-2966

Mailing address

12880 Rancho Penasquitos Blvd
Suite B
San Diego, CA 92129-2966
Phone (858) 484-2000

National Provider Directory

National Provider Directory

Locations

12880 Rancho Penasquitos Blvd
San Diego, CA 92129
Phone (858) 484-2000

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1821267212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 RANCHO PENASQUITOS BLVD",
            "address_2": "SUITE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292966",
            "telephone_number": "858-484-2000",
            "fax_number": "858-484-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 RANCHO PENASQUITOS BLVD",
            "address_2": "SUITE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292966",
            "telephone_number": "858-484-2000",
            "fax_number": "858-484-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENASQUITOS POINTE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "SATNICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-484-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15711",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15687",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C37664",
            "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 Feb 29, 2008; 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.