Miles Ivan Bodzin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

23213 Issued in CA

Practice address

6030 Santo Rd
Suite D
San Diego, CA 92124-1196

Phone

(858) 541-0505

Fax

(858) 541-0527

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Bodzin Chiropractic Professional Corporation

  • Chiropractor
  • San Diego, CA
  • NPI 1710005541
  NPD (past) Authorized official
• Gambino Full of Life Chiropractic, Inc

  • Chiropractor
  • San Diego, CA
  • NPI 1457881203
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982696142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 SANTO RD",
            "address_2": "SUITE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241196",
            "telephone_number": "858-541-0505",
            "fax_number": "858-541-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 SANTO RD",
            "address_2": "SUITE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241196",
            "telephone_number": "858-541-0505",
            "fax_number": "858-541-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODZIN",
        "first_name": "MILES",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K Bodtke, M.D.
• Body Craft, Inc.
• Body-Mind Acuity, Inc.
• Bodylife Works, Inc.
• Bodzin Chiropractic Professional Corporation
• Haleigh McCue Boe, MSPA, PA-C
• Lauren Ashley Boe, PA-C
• Schafer Cale Boeder, M.D.
• Kate Boeh
• Katherine Boehm, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.