DR. RICHARD P. MUCCILLO (NPI# 1942420377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942420377 |
| Entity Type | Individual |
| Full Name | DR. RICHARD P. MUCCILLO |
| Credential | D.C. |
| Practice Address |
800 Grand Ave B-4 Carlsbad CA 92008-1808 |
| Practice Telephone | 7607290047 |
| Practice Fax Number | 7607290915 |
| Mailing Telephone | 7607290047 |
| Mailing Fax Number | 7607290915 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
DC322 | HI | Chiropractic Providers |
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
DC15102 | CA | Chiropractic Providers |
| Street Address |
800 GRAND AVE B-4 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780666248 | Lois Flaugh | Counselor | 800 Grand Ave, Suite B-8a, Carlsbad, CA 92008-1808 | 2005-11-18 |
| 1497192470 | Jennifer Deloris Hill | Counselor | 800 Grand Ave, Ag11, Carlsbad, CA 92008-1808 | 2013-05-30 |
| 1730426966 | Kendra Gail Stidolph | Nutritionist | 800 Grand Ave, Ste C12, Carlsbad, CA 92008-1808 | 2013-01-08 |
| 1154580470 | Julia Rebecca Busby | Psychologist | 800 Grand Ave, Suite A16, Carlsbad, CA 92008-1808 | 2008-06-02 |
| 1104043934 | Dana Brigale Thomart | Marriage & Family Therapist | 800 Grand Ave, A-10, Carlsbad, CA 92008-1808 | 2007-04-20 |
| 1427178177 | Mary Jo Dicario | Marriage & Family Therapist | 800 Grand Ave, Suite B-15, Carlsbad, CA 92008-1808 | 2007-03-29 |
| 1356479851 | Earl Peter Malarchick | Psychologist | 800 Grand Ave, Ste C8a, Carlsbad, CA 92008-1805 | 2007-02-28 |
| 1548300239 | Sandra J Levee | Acupuncturist | 800 Grand Ave, Suite C-1, Carlsbad, CA 92008-1808 | 2007-02-08 |
| 1487794103 | Carlsbad Acupuncture and Herb Clinic Inc | Acupuncturist | 800 Grand Ave, C-1, Carlsbad, CA 92008-1808 | 2007-02-08 |
| 1326194473 | John Michael Polak | Acupuncturist | 800 Grand Ave, C-1, Carlsbad, CA 92008-1808 | 2007-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
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| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851772420 | Andres Garcia | Chiropractor | 994 Sea Cliff Dr, Carlsbad, CA 92011-1141 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346715174 | Kaci Madden | Chiropractor | 5665 Oberlin Dr Ste 102, San Diego, CA 92121-1739 | 2018-10-08 |
| 1336681865 | Inside Out Health | Chiropractor | 501 Soquel Ave Ste G, Santa Cruz, CA 95062-2322 | 2016-11-15 |
| 1447606934 | Integrated Systems Medical Group | Chiropractor | 9800 Mira Lee Way, San Diego, CA 92126-4713 | 2016-05-13 |
| 1144674292 | Heath Chiropractic & Naturopathic Corporation | Chiropractor | 2381 Mariner Square Dr, 170, Alameda, CA 94501-6463 | 2016-04-14 |
| 1821450800 | Natasha Fallahi | Chiropractor | 2730 Telegraph Ave, Berkeley, CA 94705-1131 | 2016-03-28 |
| 1639554454 | Daniel Alfred Nash II | Chiropractor | 1160 Pitt School Rd, Suite F, Dixon, CA 95620-2100 | 2015-07-22 |
| 1487071858 | Naomi Ariana Downey | Chiropractor | 2260 Thistle Patch Rd, Newcastle, CA 95658-9759 | 2014-03-24 |
| 1265861272 | Adam P Harcourt | Chiropractor | 804 Anacapa St, Santa Barbara, CA 93101-2212 | 2013-11-11 |
| 1255689766 | Rose Marie Pack | Chiropractor | 77564 Country Club Dr Ste 218, Palm Desert, CA 92211-6249 | 2012-08-15 |
| 1386991396 | Kyle Kamran Jahangiri | Chiropractor | 32663 Kenita Way, Union City, CA 94587-3001 | 2012-08-08 |
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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.