DR. JUSTIN DAVID VICKROY D.C. NPI 1114105228

NPI Information

  • NPI: 1114105228
  • Provider Name: DR. JUSTIN DAVID VICKROY, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 11650 IBERIA PL STE 125
    SAN DIEGO, CA
    ZIP 92128
  • Phone: (858) 798-5235

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NPI Details

DR. Justin David Vickroy, D.C. is a chiropractor in San Diego, CA. The provider is 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. DR. Justin David Vickroy, D.C. NPI is 1114105228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11650 IBERIA PL STE 125
SAN DIEGO, CA
ZIP 92128-454
Phone: (858) 798-5235
Fax: (858) 798-5239

The enumeration date for this NPI number is 1/31/2008 and was last updated on 8/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor30738CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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