DR. PHILIP PETACHENKO (NPI# 1609299270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609299270 |
| Entity Type | Individual |
| Full Name | DR. PHILIP PETACHENKO |
| Credential | D.C. |
| Practice Address |
660 2nd St Encinitas CA 92024-3548 |
| Practice Telephone | 7609429700 |
| Mailing Telephone | 7609429700 |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2014-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 13642 | CA | Chiropractic Providers |
| Street Address |
660 2ND ST |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| 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 |
|---|---|---|---|---|
| 1336771187 | Cipperoni Sports Chiropractic, Inc. | Chiropractor | 244 N Coast Highway 101 Ste A, Encinitas, CA 92024-3254 | 2020-02-10 |
| 1710523113 | Christopher John Meanley | Chiropractor | 230 2nd St Ste 101, Encinitas, CA 92024-3275 | 2019-11-20 |
| 1811470420 | Kupper and Keener Chiropractic, Apc | Chiropractor | 317 N El Camino Real Ste 110, Encinitas, CA 92024-2812 | 2018-09-10 |
| 1912438128 | Anthony Cipperoni | Chiropractor | 244 N Coast Hwy, Encinitas, CA 92024-3254 | 2017-03-21 |
| 1407247729 | Leah Eeragene Helin | Chiropractor | 848 2nd St., Encinitas, CA 92024 | 2015-02-09 |
| 1346646718 | Andres Garcia | Chiropractor | 283 Countrywood Ln, Encinitas, CA 92024 | 2014-11-13 |
| 1528499050 | Kendra Sietsema | Chiropractor | 272 N El Camino Real Ste C, Encinitas, CA 92024-2857 | 2013-12-10 |
| 1568768844 | Nicolai Lennox Chiropractic Inc | Chiropractor | 121 W E St, Encinitas, CA 92024-3520 | 2011-02-02 |
| 1851601553 | Lowell N. Lazarus | Chiropractor | 2059 Village Park Way Apt 220, Encinitas, CA 92024-5437 | 2010-10-14 |
| 1124336284 | Ian Hoffman | Chiropractor | 345 S. Coast Highway 101, Suite A, Encinitas, CA 92024 | 2010-09-22 |
| Find all providers in ENCINITAS | ||||
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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.