Individual provider Active NPI

Nisreen Tayebjee, DC

  • Neurology Chiropractor
  • Carlsbad, CA
National Provider Identifier
1275980427
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
34078 Issued in CA
Practice address
1905 Calle Barcelona Ste 234
Carlsbad, CA 92009-8453
Phone
(858) 208-0710
Fax
(858) 239-1317
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13215 TX
Neurology Chiropractor 111NN0400X 34078 CA Primary

Addresses

Primary practice location

1905 Calle Barcelona Ste 234
Carlsbad, CA 92009-8453

Mailing address

1905 Calle Barcelona Ste 234
Carlsbad, CA 92009-8453
Phone (858) 208-0710

Other identifiers 2

IdentifierTypeStateIssuer
13215OtherTXCHIROPRACTOR LICENSE
34078OtherCACHIROPRACTIC LICENSE

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1275980427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CALLE BARCELONA STE 234",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098453",
            "telephone_number": "858-208-0710",
            "fax_number": "858-239-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CALLE BARCELONA STE 234",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098453",
            "telephone_number": "858-208-0710",
            "fax_number": "858-239-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYEBJEE",
        "first_name": "NISREEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13215",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "34078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR LICENSE",
            "identifier": "13215",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "34078",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.