Individual provider Active NPI

Nasim Nemat-Gorgani

  • Chiropractor
  • Los Altos, CA
National Provider Identifier
1174975510
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33278 Issued in CA
Practice address
4600 El Camino Real Ste 217
Los Altos, CA 94022-1351
Phone
(408) 892-2663
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33278 CA Primary

Addresses

Primary practice location

4600 El Camino Real Ste 217
Los Altos, CA 94022-1351

Mailing address

4600 El Camino Real Ste 217
Los Altos, CA 94022-1351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180521002891 CA Practitioner - Chiropractic 2961767033 Reassigns benefits to 1 organization
Practice locations: Palo Alto, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2504 Ash St
Palo Alto, CA 94306-1804
Phone (650) 327-0703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33278CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nasim Spine and Therapy Chiropractic Corp Chiropractor CurrentSince Oct 10, 2022 Accepting new patients

Locations

2504 Ash St
Palo Alto, CA 94306
Phone (650) 327-0703

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1174975510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 EL CAMINO REAL STE 217",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 EL CAMINO REAL STE 217",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221351",
            "telephone_number": "408-892-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMAT-GORGANI",
        "first_name": "NASIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.