Active NPI
Shervin Tabrizi, DC
- Chiropractor
- Irvine, CA
National Provider Identifier
1184921827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC31906
- Practice address
- 17885 Sky Park Cir Ste J
Irvine, CA 92614-6307 - Phone
- (949) 251-0154
- NPI assigned
- Feb 15, 2011
- Sex
- Male
- 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 | DC31906 | CA | Primary |
Addresses
Primary practice location
17885 Sky Park Cir Ste J
Irvine, CA 92614-6307
Mailing address
421 Enclave Cir Apt 204
Costa Mesa, CA 92626-8200
Phone (949) 579-0640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200512002175 | CA | Practitioner - Chiropractic | 2264868553 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC31906 | CA | MD | Chiropractor |
| 31906 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tabrizi Family Chiropractic, PC | Chiropractor | Current | Accepting new patients |
Locations
3140 Red Hill Ave
Ste 100
Costa Mesa, CA 92626
Phone (714) 540-1710
Interoperability endpoints
- shervin.tabrizi.1@22164.direct.athenahealth.com
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.
-
- Chiropractor
- Costa Mesa, CA
- NPI 1326426826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1184921827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 ENCLAVE CIR APT 204",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926268200",
"telephone_number": "949-579-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17885 SKY PARK CIR STE J",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146307",
"telephone_number": "949-251-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABRIZI",
"first_name": "SHERVIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC31906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.