Active NPI
Travis Colin Ehlers, D.C.
- Chiropractor
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 30194
- 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, 2013
- 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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30194 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehlers Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Piranio Knepp Chiropractic Inc | Chiropractor | Past | 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.
-
dba Elite Performance Chiropractic
- Chiropractor
- San Diego, CA
- NPI 1578157673
-
dba San Diego Chiropractic Group
- Chiropractor
- San Diego, CA
- NPI 1194899500
-
- Chiropractor
- Elbow Lake, MN
- NPI 1194990606
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.