Ely Family First Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31235 Issued in CA

Legal business name

ELY FAMILY FIRST CHIROPRACTIC, INC

Practice address

9340 Clairemont Mesa Blvd
Suite E
San Diego, CA 92123-1224

Phone

(858) 279-1012

Fax

(858) 279-1011

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Payton Ely, D.CNPI 1174822274

Title

Owner/President

Phone

(858) 279-1012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Payton Spencer Ely, D.C

  • Chiropractor
  • San Diego, CA
  • NPI 1174822274
  Medicare reassignment Authorized official
• Dawn Kristen Bortoluzzi, D.C., B.SC.

  • Chiropractor
  • San Diego, CA
  • NPI 1992076160
  NPD (past)

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1821489006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 CLAIREMONT MESA BLVD",
            "address_2": "SUITE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231224",
            "telephone_number": "858-279-1012",
            "fax_number": "858-279-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 CLAIREMONT MESA BLVD",
            "address_2": "SUITE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231224",
            "telephone_number": "858-279-1012",
            "fax_number": "858-279-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELY FAMILY FIRST CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "ELY",
        "authorized_official_first_name": "PAYTON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-279-1012",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry D. Elswick, MD
• Maria H. Elswick, MD
• Heather F Elvin
• Holly Elwell
• Ian Chaplin Elwood, MA, ATC, CES
• Rachel Elisabeth Ely-Konoske, CNM
• Isabelle Ely
• Payton Spencer Ely, D.C
• Jacey Elzey, RBT
• Emad Tadros MD a Professional Corporation

• 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 Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.