Individual provider Active NPI

Travis Colin Ehlers, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1881606226
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30194 Issued in CA
Practice address
5471 Kearny Villa Rd
Ste. 200
San Diego, CA 92123-1151
Phone
(858) 571-0606
Fax
(858) 571-1933
NPI assigned
Aug 13, 2006
Last updated
Sep 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30194 CA Primary

Addresses

Primary practice location

5471 Kearny Villa Rd
Ste. 200
San Diego, CA 92123-1151

Mailing address

8793 Lightwave Ave
Apt. 428
San Diego, CA 92123-5000
Phone (612) 327-0809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722003837 CA Practitioner - Chiropractic 8628002193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9235 Activity Rd
Suite 108
San Diego, CA 92126-4440
Phone (858) 564-8398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30194CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ehlers Chiropractic Inc Chiropractor CurrentSince Apr 20, 2024 Accepting new patients
Piranio Knepp Chiropractic Inc Chiropractor PastSince Sep 1, 2002 Accepting new patients
Kastner Chiropractic LLC Chiropractor Past Accepting new patients

Locations

9235 Activity Rd
Ste 108
San Diego, CA 92126
Phone (858) 564-8398

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1881606226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8793 LIGHTWAVE AVE",
            "address_2": "APT. 428",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921235000",
            "telephone_number": "612-327-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD",
            "address_2": "STE. 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231151",
            "telephone_number": "858-571-0606",
            "fax_number": "858-571-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLERS",
        "first_name": "TRAVIS",
        "middle_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30194",
            "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 Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.