DR. MICHAEL TREAVELYN STAFFORD (NPI# 1487838041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487838041 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL TREAVELYN STAFFORD |
| Credential | D.C. |
| Practice Address |
6628 La Jolla Blvd La Jolla CA 92037-6018 |
| Practice Telephone | 8584591233 |
| Practice Fax Number | 8584592317 |
| Mailing Telephone | 8584591233 |
| Mailing Fax Number | 8584592317 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC12287 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757991 | Michael Trace Stafford | Surgery | 1123 Belleville Ave, Brewton, AL 36426-1505 | 2014-07-03 |
| 1730788373 | Michael Stafford | Specialist/Technologist, Other | 1 Parkland Dr, Derry, NH 03038-2746 | 2020-10-24 |
| 1952869703 | Michael Thomas Stafford II | Behavior Technician | 4121 M L King Ave, Flint, MI 48505-3707 | 2019-03-11 |
| 1831662238 | Michael Stafford | Case Manager/Care Coordinator | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2019-01-08 |
| 1992243661 | Michael Stafford | Counselor | 1301 Yosemite Pkwy, Merced, CA 95340-5203 | 2017-02-02 |
| 1073810214 | Michael Clayton Stafford | Dietitian, Registered | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2011-02-24 |
| 1184864027 | Michael Douglas Stafford | Dentist | 3700 Fairbanks Ave, Yakima, WA 98902-6325 | 2009-03-05 |
| 1285784298 | Michael Todd Stafford | Emergency Medicine | 3560 Delaware St, Suite 601-a, Beaumont, TX 77706-3067 | 2007-01-11 |
| 1396757951 | Michael Royce Stafford | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2006-08-12 |
| Street Address |
6628 LA JOLLA BLVD |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-6018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| 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 |
|---|---|---|---|---|
| 1174933105 | Mara Bush | Chiropractor | 7596 Eads Ave, Suite 100, La Jolla, CA 92037-4851 | 2014-04-29 |
| 1316369945 | Shawn Miller | Chiropractor | 304 Kolmar Street, La Jolla, CA 92037 | 2014-01-16 |
| 1245676709 | Kayleigh Nicole Leake | Chiropractor | 8950 Via La Jolla Dr, Suite B212, La Jolla, CA 92037 | 2013-05-10 |
| 1669605085 | Collan Lee Koeppen | Chiropractor | 7825 Fay Ave., Suite 249, La Jolla, CA 92037 | 2009-09-02 |
| 1598945610 | Trevor Owen Robertson | Chiropractor | 5616 La Jolla Blvd, La Jolla, CA 92037-7523 | 2007-11-06 |
| 1376762211 | Flores Chiropractic Inc | Chiropractor | 7580 Fay Ave, Suite 270, La Jolla, CA 92037 | 2007-04-25 |
| 1104941434 | Robert George | Chiropractor | 7744 Fay Ave, Suite 100, La Jolla, CA 92037-4313 | 2007-03-19 |
| 1639237431 | Seaside Chiropractic | Chiropractor | 5668 La Jolla Blvd, La Jolla, CA 92037 | 2006-12-05 |
| 1730247990 | Martin Neil Olsen | Chiropractor | 6435 Caminito Blythefield, Suite D, La Jolla, CA 92037-5851 | 2006-12-04 |
| 1053484477 | Patricia Lotufo | Chiropractor | 7520 Eads Ave, Suite 7, La Jolla, CA 92037-4807 | 2006-11-15 |
| Find all providers in LA JOLLA | ||||
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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.