Individual provider Active NPI

Daniel Demerjian

  • Chiropractor
  • Simi Valley, CA
National Provider Identifier
1104500594
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34173 Issued in CA
Practice address
1236 E Los Angeles Ave Ste C
Simi Valley, CA 93065-2893
Phone
(626) 423-3733
NPI assigned
Jun 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 34173 CA Primary

Addresses

Primary practice location

1236 E Los Angeles Ave Ste C
Simi Valley, CA 93065-2893

Mailing address

1236 E Los Angeles Ave Ste C
Simi Valley, CA 93065-2893
Phone (626) 423-3733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iron Chiropractic Chiropractor CurrentSince Apr 9, 2024 Accepting new patients

Locations

1236 E Los Angeles Ave
Ste C
Simi Valley, CA 93065
Phone (626) 423-3733

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1104500594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E LOS ANGELES AVE STE C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652893",
            "telephone_number": "626-423-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 E LOS ANGELES AVE STE C",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652893",
            "telephone_number": "626-423-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERJIAN",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.