Organization Active NPI

Reza Daroodi Inc

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1093102931
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22985 Issued in CA
Legal business name
REZA DAROODI INC
Practice address
1746 Hamilton Ave
San Jose, CA 95125-5424
Phone
(408) 979-9559
Fax
(408) 979-1171
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Mr. Reza Daroodi, DCNPI 1336224278
Title
President
Phone
(408) 979-9559

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 DC22985 CA Primary

Addresses

Primary practice location

1746 Hamilton Ave
San Jose, CA 95125-5424

Mailing address

1746 Hamilton Ave
San Jose, CA 95125-5424
Phone (408) 979-9559

National Provider Directory

National Provider Directory
Tax ID family
Reza Daroodi DC Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1746 Hamilton Ave
San Jose, CA 95125
Phone (408) 979-9559

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": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1093102931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255424",
            "telephone_number": "408-979-9559",
            "fax_number": "408-979-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255424",
            "telephone_number": "408-979-9559",
            "fax_number": "408-979-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA DAROODI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "DAROODI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-979-9559",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.