WILCOX BAYSIDE SPINE & SPORT CHIROPRACTIC (NPI# 1457828618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457828618 |
| Entity Type | Organization |
| Organization Name | WILCOX BAYSIDE SPINE & SPORT CHIROPRACTIC |
| Practice Address |
838 G St San Diego CA 92101-6421 |
| Practice Telephone | 6197865997 |
| Mailing Telephone | 6197865997 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | DR. JUSTIN WILCOX (OWNER) |
| Authorized Official Telephone | 8134690409 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
838 G ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-6421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689004327 | Carol Joy Bender | Nurse Practitioner | 838 G St, San Diego, CA 92101-6421 | 2013-11-15 |
| 1861928145 | Justin Wilcox | Chiropractor | 838 G St, San Diego, CA 92101 | 2017-05-05 |
| 1700324795 | Carol Joy Hanselman, Nurse Practitioner, Inc | Clinic/Center | 838 G St, San Diego, CA 92101-6421 | 2017-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234286 | Hifai Chiropractic Inc | Chiropractor | 7805 Highland Village Pl Ste 104, San Diego, CA 92129-5181 | 2020-10-28 |
| 1871192922 | Jason Trainer | Chiropractor | 4580 Southampton St, San Diego, CA 92117-4032 | 2020-10-20 |
| 1013548601 | Lianna Hunt | Chiropractor | 4616 Pendleton St, San Diego, CA 92109-3719 | 2020-01-31 |
| 1790328557 | Fillat Chiropractic Inc. | Chiropractor | 10444 Clairemont Mesa Blvd, San Diego, CA 92124-1320 | 2019-10-24 |
| 1710533591 | Shane Kelly, D.c., LLC | Chiropractor | 10803 Vista Sorrento Pkwy Ste 100, San Diego, CA 92121-2792 | 2019-08-16 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1457817835 | Sean Patrick Golden | Chiropractor | 11199 Sorrento Valley Rd Ste 201, San Diego, CA 92121-1334 | 2019-02-11 |
| 1134683766 | Christopher Jepsen | Chiropractor | 9040 Friars Rd # 401, San Diego, CA 92108-5859 | 2019-01-28 |
| 1346725769 | Ruben Alexander Montane | Chiropractor | 3069 Lincoln Ave, San Diego, CA 92104-3030 | 2018-10-02 |
| 1033691241 | Jeffrey Ray Greenlee Jr. | Chiropractor | 2245 Fenton Pkwy Ste 109, San Diego, CA 92108-4737 | 2018-09-04 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.