Individual provider Active NPI

Carmelita Lopez-Mitchell, D.C.

  • Chiropractor
  • Escondido, CA
National Provider Identifier
1962493767
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC18861 Issued in CA
Practice address
325 W 3Rd Ave Ste 106
Escondido, CA 92025-4140
Phone
(760) 489-7762
Fax
(760) 737-9865
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC18861 CA Primary

Addresses

Primary practice location

325 W 3Rd Ave Ste 106
Escondido, CA 92025-4140

Mailing address

325 W 3Rd Ave Ste 106
Escondido, CA 92025-4140
Phone (760) 489-7762

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clmdc61@att.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100223000716 CA Practitioner - Chiropractic 7719021195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

325 W 3Rd Ave
Suite 106
Escondido, CA 92025-4140
Phone (760) 489-7762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18861CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmelita Lopez-Mitchell a Chiropractic Corp. CurrentSince Jan 6, 2010 Accepting new patients

Locations

325 W 3rd Ave
Ste 106
Escondido, CA 92025
Phone (760) 489-7760

255 N Ash St
Ste 106
Escondido, CA 92027
Phone (760) 737-8662

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1962493767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W 3RD AVE STE 106",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254140",
            "telephone_number": "760-489-7762",
            "fax_number": "760-737-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W 3RD AVE STE 106",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254140",
            "telephone_number": "760-489-7762",
            "fax_number": "760-737-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-MITCHELL",
        "first_name": "CARMELITA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clmdc61@att.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 W 3rd Ave Ste 106",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920254140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.