Individual provider Active NPI

Shervin Tabrizi, DC

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1184921827
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31906 Issued in CA
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

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20200512002175 CA Practitioner - Chiropractic 2264868553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC31906CAMDChiropractor
31906CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tabrizi Family Chiropractic, PC Chiropractor CurrentSince Apr 27, 2020 Accepting new patients

Locations

3140 Red Hill Ave
Ste 100
Costa Mesa, CA 92626
Phone (714) 540-1710

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.