=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649101734
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SKYE CHIROPRACTIC & WELLNESS CENTER, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2026
-----------------------------------------------------
Last Update Date | 05/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15817 BERNARDO CENTER DR STE 105
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92127-2322
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-674-7200
-----------------------------------------------------
Fax | 858-674-7277
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15817 BERNARDO CENTER DR STE 105
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92127-2322
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-674-7200
-----------------------------------------------------
Fax | 858-674-7277
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. SKYLER TALAMANTES
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 858-674-7200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------