NPIMap

Organization Active NPI

Golan Nissim Professional Chiropractic Corporation

  • Chiropractor
  • Toluca Lake, CA
National Provider Identifier
1053500892
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25362 Issued in CA
Legal business name
GOLAN NISSIM PROFESSIONAL CHIROPRACTIC CORPORATION
Practice address
10738 Riverside Dr Ste a
Toluca Lake, CA 91602-2372
Phone
(818) 766-4307
Fax
(818) 766-4309
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Golan Nissim, D.C., A.R.T.NPI 1932270147
Title
President
Phone
(818) 766-4307

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC25362 CA Primary

Addresses

Primary practice location

10738 Riverside Dr Ste a
Toluca Lake, CA 91602-2372

Mailing address

10738 Riverside Dr Ste a
Toluca Lake, CA 91602-2372
Phone (818) 766-4307

Other names 1

  • Performance Care Chiropracitc & Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

10738 Riverside Dr
Ste B
North Hollywood, CA 91602

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1053500892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10738 RIVERSIDE DR STE A",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022372",
            "telephone_number": "818-766-4307",
            "fax_number": "818-766-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10738 RIVERSIDE DR STE A",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022372",
            "telephone_number": "818-766-4307",
            "fax_number": "818-766-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLAN NISSIM PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "NISSIM",
        "authorized_official_first_name": "GOLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-766-4307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., A.R.T."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Care Chiropracitc & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toluca Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.