Joshua Barry Jagoda, DC CCSP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

32896 Issued in CA

Practice address

4501 Mission Bay Drive
Suite 3C
San Diego, CA 92109-2010

Phone

(858) 766-1090

Fax

(858) 768-0416

NPI assigned

Feb 12, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1881926095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR",
            "address_2": "SUITE 3C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094923",
            "telephone_number": "858-766-1090",
            "fax_number": "858-768-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DRIVE",
            "address_2": "SUITE 3C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092010",
            "telephone_number": "858-766-1090",
            "fax_number": "858-768-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGODA",
        "first_name": "JOSHUA",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "DC CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "32896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Jagasia, M.D.
• Amy Elizabeth Jagger, DDS
• April Jeannette Jaggi, NNP-BC
• Elizabeth Jaggie
• Ariana Evelina Jagiello
• Jagruti Patel DDS, a Prof. Corp.
• Fatmata Jah, RN
• John Jahan, M.D.
• Sairah Bano Jahangir
• Alexis Pouran Jahangiri, DC

• Sports Physician Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.