Organization Active NPI

Desai Chiropractic Professional Corporation

  • Chiropractor
  • Redondo Beach, CA
National Provider Identifier
1265838569
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32410 Issued in CA
Legal business name
DESAI CHIROPRACTIC PROFESSIONAL CORPORATION
Practice address
700 N Pacific Coast Hwy
Ste. 302
Redondo Beach, CA 90277-2167
Phone
(310) 734-2040
Fax
(310) 598-2040
NPI assigned
Nov 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Roshani Desai, D.C.NPI 1497167944
Title
President
Phone
(951) 733-6194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 32410 CA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 33011 CA

Addresses

Primary practice location

700 N Pacific Coast Hwy
Ste. 302
Redondo Beach, CA 90277-2167

Mailing address

700 N Pacific Coast Hwy
Ste. 302
Redondo Beach, CA 90277-2167
Phone (310) 734-2040

National Provider Directory

National Provider Directory

Locations

700 N Pacific Coast Hwy
Ste 302
Redondo Beach, CA 90277
Phone (310) 734-2040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1265838569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N PACIFIC COAST HWY",
            "address_2": "STE. 302",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772167",
            "telephone_number": "310-734-2040",
            "fax_number": "310-598-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N PACIFIC COAST HWY",
            "address_2": "STE. 302",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772167",
            "telephone_number": "310-734-2040",
            "fax_number": "310-598-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESAI CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "ROSHANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-733-6194",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32410",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.