Individual provider Active NPI

Evelyn Nour Sawires, D.C

  • Chiropractor
  • Lake Elsinore, CA
National Provider Identifier
1285816546
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25175 Issued in CA
Practice address
31361 Riverside Dr
Lake Elsinore, CA 92530-7807
Phone
(844) 308-5003
Fax
(760) 414-3892
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25175 CA Primary

Addresses

Primary practice location

31361 Riverside Dr
Lake Elsinore, CA 92530-7807

Mailing address

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone (844) 308-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604002570 CA Practitioner - Chiropractic 4880764695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Center of Corona IncGroup PAC ID 4981904737, 10 clinicians

Practice addresses (Care Compare)

2250 S Main St
Suite 203
Corona, CA 92882-2506
Phone (951) 737-1252

9496 Magnolia Ave
Suite 201
Riverside, CA 92503-3733
Phone (951) 737-1252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25175CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Center of Corona Inc. CurrentSince Apr 25, 2024 Accepting new patients
Pirritano Chiropractic Corporation Chiropractor Past Accepting new patients

Locations

2250 S Main St
Ste 203
Corona, CA 92882
Phone (800) 595-2447

265 San Jacinto River Rd
Ste 106
Lake Elsinore, CA 92530
Phone (951) 674-9243

Organizations & group practices 2

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1285816546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VALE TERRACE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845218",
            "telephone_number": "844-308-5003",
            "fax_number": "760-414-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31361 RIVERSIDE DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307807",
            "telephone_number": "844-308-5003",
            "fax_number": "760-414-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWIRES",
        "first_name": "EVELYN",
        "middle_name": "NOUR",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.