NPIMap

Organization Active NPI

Berardi Chiropractic Clinic

  • Chiropractor
  • Fairfield, CA
National Provider Identifier
1285894436
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC20511 Issued in CA
Legal business name
BERARDI CHIROPRACTIC CLINIC
Practice address
1590 Webster St
Suite D
Fairfield, CA 94533-4992
Phone
(707) 425-1021
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Darrin David Berardi, D.C.NPI 1386628238
Title
Owner
Phone
(707) 425-1021

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC20511 CA Primary

Addresses

Primary practice location

1590 Webster St
Suite D
Fairfield, CA 94533-4992

Mailing address

1590 Webster St
Suite D
Fairfield, CA 94533-4992
Phone (707) 425-1021

National Provider Directory

National Provider Directory

Locations

1590 Webster St
Ste D
Fairfield, CA 94533
Phone (707) 425-1021

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1285894436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 WEBSTER ST",
            "address_2": "SUITE D",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334992",
            "telephone_number": "707-425-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WEBSTER ST",
            "address_2": "SUITE D",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334992",
            "telephone_number": "707-425-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERARDI CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "BERARDI",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-425-1021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.