Active NPI
James Anthony Pietrek, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1861698078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 29585
- Practice address
- 16959 Bernardo Center Drive
Suite 215
San Diego, CA 92128 - Phone
- (858) 472-1407
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 29585 | CA | Primary |
Addresses
Primary practice location
16959 Bernardo Center Drive
Suite 215
San Diego, CA 92128
Mailing address
10038 Paseo Montril
#310
San Diego, CA 92129
Phone (858) 472-1407
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861698078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10038 PASEO MONTRIL",
"address_2": "#310",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92129",
"telephone_number": "858-472-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16959 BERNARDO CENTER DRIVE",
"address_2": "SUITE 215",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92128",
"telephone_number": "858-472-1407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETREK",
"first_name": "JAMES",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "29585",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.