Anima Movement Center - Cicak Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ANIMA MOVEMENT CENTER - CICAK CHIROPRACTIC INC

Practice address

10525 Vista Sorrento Pkwy Ste 102
San Diego, CA 92121-2747

Phone

(619) 289-7765

NPI assigned

Feb 19, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Boris Cicak, DCNPI 1629500772

Title

Owner

Phone

(510) 584-1915

Specialties & licenses 1

Addresses

Other names 1

• ANIMA Movement Center Doing business as

Locations

Practitioners 1

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

• Boris Cicak, DC

  • Chiropractor
  • San Diego, CA
  • NPI 1629500772
  NPD Authorized official

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1871399121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 VISTA SORRENTO PKWY STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212747",
            "telephone_number": "619-289-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 VISTA SORRENTO PKWY STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212747",
            "telephone_number": "619-289-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIMA MOVEMENT CENTER - CICAK CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "CICAK",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-584-1915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANIMA Movement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 19, 2025; 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.