Individual provider Active NPI

Kerri Domingo, DC

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1831676931
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34500 Issued in CA
Practice address
8160 Mira Mesa Blvd Ste 141
San Diego, CA 92126-2602
Phone
(619) 273-3712
Fax
(619) 374-7439
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34500 CA Primary

Addresses

Primary practice location

8160 Mira Mesa Blvd Ste 141
San Diego, CA 92126-2602

Mailing address

8160 Mira Mesa Blvd Ste 141
San Diego, CA 92126-2602
Phone (619) 273-3712

Other practice location 1

813 W Washington St
San Diego, CA 92103-1804
Phone (619) 269-9909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34500CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Casey Chiropractic Inc. Chiropractor PastSince Mar 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1831676931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 MIRA MESA BLVD STE 141",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262602",
            "telephone_number": "619-273-3712",
            "fax_number": "619-374-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 MIRA MESA BLVD STE 141",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262602",
            "telephone_number": "619-273-3712",
            "fax_number": "619-374-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 W Washington St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921031804",
            "country_code": "US",
            "telephone_number": "619-269-9909",
            "fax_number": "619-269-6906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "KERRI",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34500",
            "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 Jun 15, 2022; 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.