Individual provider Active NPI

Zeina Abouakl

  • Neurology Chiropractor
  • Upland, CA
National Provider Identifier
1265103147
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC36160 Issued in CA
Practice address
2335 W Foothill Blvd Ste 20
Upland, CA 91786-3577
Phone
(909) 982-9100
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X DC36160 CA Primary

Addresses

Primary practice location

2335 W Foothill Blvd Ste 20
Upland, CA 91786-3577

Mailing address

2335 W Foothill Blvd
Upland, CA 91786-3575
Phone (909) 982-9100

Other identifiers 2

IdentifierTypeStateIssuer
NONEOtherNON PARTICIPATING CHIROPRACTIC OFFICE
1265103147OtherCHIROPRACTIC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Atlasbrainandspine@gmail.com

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

State licenses

LicenseStateTypeSpecialty
DC36160CAMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Murray Chiropractic PC Single Specialty CurrentSince Dec 7, 2023 Accepting new patients

Locations

2335 W Foothill Blvd
Ste 20
Upland, CA 91786
Phone (909) 982-9100

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1265103147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863575",
            "telephone_number": "909-982-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 W FOOTHILL BLVD STE 20",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863577",
            "telephone_number": "909-982-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUAKL",
        "first_name": "ZEINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC36160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON PARTICIPATING CHIROPRACTIC OFFICE",
            "identifier": "NONE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "1265103147",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Atlasbrainandspine@gmail.com",
            "affiliation": "N",
            "address_1": "2335 W Foothill Blvd Ste 20",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917863577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.