Active NPI
Meral Hedayi Elgendy, D.C.
- Chiropractor
- Riverside, CA
National Provider Identifier
1164563292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 25145
- Practice address
- 7177 Brockton Ave
Ste 219
Riverside, CA 92506-2633 - Phone
- (951) 323-7783
- Fax
- (855) 293-4899
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 25145 | CA | Primary |
Addresses
Primary practice location
7177 Brockton Ave
Ste 219
Riverside, CA 92506-2633
Mailing address
7177 Brockton Ave
Ste 219
Riverside, CA 92506-2633
Phone (951) 323-7783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120615000448 | CA | Practitioner - Chiropractic | 4587828801 | Practice locations: Riverside, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 25145 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1164563292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7177 BROCKTON AVE",
"address_2": "STE 219",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062633",
"telephone_number": "951-323-7783",
"fax_number": "855-293-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7177 BROCKTON AVE",
"address_2": "STE 219",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062633",
"telephone_number": "951-323-7783",
"fax_number": "855-293-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELGENDY",
"first_name": "MERAL",
"middle_name": "HEDAYI",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 25145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.