Nardeep Jawanda, Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27989 Issued in CA

Legal business name

NARDEEP JAWANDA, CHIROPRACTIC CORPORATION

Practice address

23695 Birtcher Dr
Lake Forest, CA 92630-1782

Phone

(949) 586-8525

Fax

(949) 586-9892

NPI assigned

Jan 23, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nardeep Jawanda, D.C.NPI 1427164136

Title

Chiropractor/Owner

Phone

(949) 586-8525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nardeep Jawanda, D.C.

  • Chiropractor
  • Lake Forest, CA
  • NPI 1427164136
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1003353566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23695 BIRTCHER DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301782",
            "telephone_number": "949-586-8525",
            "fax_number": "949-586-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23695 BIRTCHER DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301782",
            "telephone_number": "949-586-8525",
            "fax_number": "949-586-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARDEEP JAWANDA, CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "JAWANDA",
        "authorized_official_first_name": "NARDEEP",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "949-586-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Namjoonik, PHARMD
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• Nationwide Healthcare Provider Corp

• Chiropractor in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.