Individual provider Active NPI

Douglas Lloyd Reich, DC

  • Chiropractor
  • San Marcos, CA
National Provider Identifier
1861574394
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC13373 Issued in CA
Practice address
338 Via Vera Cruz Ste 120
San Marcos, CA 92078-2647
Phone
(760) 736-0286
Fax
(760) 736-3113
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC13373 CA Primary

Addresses

Primary practice location

338 Via Vera Cruz Ste 120
San Marcos, CA 92078-2647

Mailing address

338 Via Vera Cruz Ste 120
San Marcos, CA 92078-2647
Phone (760) 736-0286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000278 CA Practitioner - ChiropracticPractitioner - Other (Physician) 8224072368 Practice locations: San Marcos, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 S Rancho Santa Fe Rd
San Marcos, CA 92078-3698
Phone (760) 736-0286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC13373CAMDChiropractor
13373CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1861574394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 VIA VERA CRUZ STE 120",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782647",
            "telephone_number": "760-736-0286",
            "fax_number": "760-736-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 VIA VERA CRUZ STE 120",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782647",
            "telephone_number": "760-736-0286",
            "fax_number": "760-736-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "DOUGLAS",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.