Organization Active NPI

Mousavi Chiropractic Inc.

  • Chiropractor
  • Santa Ana, CA
National Provider Identifier
1104122860
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26980 Issued in CA
Legal business name
MOUSAVI CHIROPRACTIC INC.
Practice address
1125 E 17TH St Ste N461
Santa Ana, CA 92701-2270
Phone
(714) 972-2200
Fax
(714) 972-2825
NPI assigned
Jan 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Mrs. Mandana Mousavi, D.C.NPI 1417267501
Title
President
Phone
(714) 972-2200

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC26980 CA Primary

Addresses

Primary practice location

1125 E 17TH St Ste N461
Santa Ana, CA 92701-2270

Mailing address

1125 E 17TH St Ste N461
Santa Ana, CA 92701-2270
Phone (714) 972-2200

Other names 1

  • Sina Medical Group Doing business as

National Provider Directory

National Provider Directory

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": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1104122860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE N461",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012270",
            "telephone_number": "714-972-2200",
            "fax_number": "714-972-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE N461",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012270",
            "telephone_number": "714-972-2200",
            "fax_number": "714-972-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUSAVI CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "MOUSAVI",
        "authorized_official_first_name": "MANDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-972-2200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sina Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.