SAN DIEGO SPINE AND WELLNESS CENTER
NPI 1003955733
Chiropractor in San Diego, CA

Active since February 06, 2007
16445 BERNARDO CENTER DR, SAN DIEGO, CA 92128(858) 676-1166(858) 676-1172 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About San Diego Spine And Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN DIEGO SPINE AND WELLNESS CENTER (NPI 1003955733) is a healthcare organization registered as a chiropractor in San Diego, California and active in the NPI registry since February 2007. The organization lists Linda Marie Siclare, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003955733
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSAN DIEGO SPINE AND WELLNESS CENTER
Location Address16445 BERNARDO CENTER DRSan Diego, CA 92128-2523
Mailing Address16445 Bernardo Center DrSan Diego, CA 92128-2523 · (858) 676-1166 · Fax (858) 676-1172
Fax(858) 676-1172
Organization SubpartNo
Authorized OfficialLinda Marie SiclareOffice Manager · (858) 676-1171
Enumeration DateFebruary 6, 2007
Last NPPES UpdateFebruary 25, 2016
✔ NPI 1003955733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC23346
Definition
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.
16445 BERNARDO CENTER DR, San Diego, CA 92128

Other Names 1

Former Legal Business NameSan Diego Spine And Wellness Center

Other Identifiers 4

Medicare UPINDC23346CA
Other1932206083CA · Individual Npi
Other1003955733CA · Group Npi
Medicare PINW13336CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Diego Spine And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Diego Spine And Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1932206083
16870 W BERNARDO DR STE 120
San Diego, CA 92127
(858) 676-1166
✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Diego Spine And Wellness Center's NPI number?

The NPI number for San Diego Spine And Wellness Center is 1003955733. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is San Diego Spine And Wellness Center located?

San Diego Spine And Wellness Center is located at 16445 Bernardo Center Dr, San Diego, CA 92128. The listed phone number is (858) 676-1166.

What is San Diego Spine And Wellness Center's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is San Diego Spine And Wellness Center enrolled in Medicare?

Yes. San Diego Spine And Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Diego Spine And Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to San Diego Spine And Wellness Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Diego Spine And Wellness Center was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.