Juan Carlos Marin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33745 Issued in CA

Practice address

1428 Phillips LN Ste 300
San Luis Obispo, CA 93401-2552

Phone

(805) 543-8688

Fax

(805) 543-8732

NPI assigned

Aug 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1972937712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 KING CT UNIT 31",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015179",
            "telephone_number": "563-542-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 PHILLIPS LN STE 300",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012552",
            "telephone_number": "805-543-8688",
            "fax_number": "805-543-8732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 17th St",
            "address_2": "203",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904043442",
            "country_code": "US",
            "telephone_number": "424-272-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIN",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012440",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Marchand
• Lloyd H Marcum, D.D.S.
• Rhonda Mareina, PT CSCS CPI
• Colleen Noel Margalit, REGISTERED NURSSE
• Maria E. Castellano-Hsia Marriage Family Therapist,PC
• Noemi Mariscal
• Mark David Levine, M.D. San Luis Obsipo Professional Corporation
• Bailey K Markley, M.S. SLP
• Michael Markovich
• Richard S Marks, P.A.C.

• Chiropractor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.