Active NPI
Kaivan-Mehr Chiropractic Inc
Doing business as Foothill Family Chiropractic
- Chiropractor
- La Verne, CA
National Provider Identifier
1043631088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30602
- Legal business name
- KAIVAN-MEHR CHIROPRACTIC INC
- Doing business as
- Foothill Family Chiropractic
- Practice address
- 2138 Bonita Ave
La Verne, CA 91750-4915 - Phone
- (909) 596-1038
- Fax
- (909) 596-6059
- NPI assigned
- Dec 18, 2013
- Last updated
- Aug 10, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Afshin Kaivan-Mehr, D.C.
- Title
- President
- Phone
- (626) 253-7139
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC30602 | CA | Primary |
Addresses
Primary practice location
2138 Bonita Ave
La Verne, CA 91750-4915
Mailing address
2138 Bonita Ave
La Verne, CA 91750-4915
Phone (909) 596-1038
Other names 1
- Foothill Family Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- La Verne, CA
- NPI 1205032653
-
- Chiropractor
- La Verne, CA
- NPI 1730181710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439164800000",
"number": "1043631088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2138 BONITA AVE",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917504915",
"telephone_number": "909-596-1038",
"fax_number": "909-596-6059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2138 BONITA AVE",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917504915",
"telephone_number": "909-596-1038",
"fax_number": "909-596-6059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAIVAN-MEHR CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-18",
"last_updated": "2015-08-10",
"status": "A",
"authorized_official_last_name": "KAIVAN-MEHR",
"authorized_official_first_name": "AFSHIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-253-7139",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Foothill Family Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.