Tara Rasta, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33934 Issued in CA

Practice address

22672 Lambert St Suite 620
Olsen Chiropractic
Lake Forest, CA 92630

Phone

(949) 859-5192

Fax

(949) 583-2961

NPI assigned

Oct 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Taraneh Rasta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Olsen Chiropractic, a Professional Corporation

  • Chiropractor
  • Lake Forest, CA
  • NPI 1134292311
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1295245587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22672 LAMBERT ST SUITE 620",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "92630",
            "telephone_number": "949-859-5192",
            "fax_number": "949-583-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22672 LAMBERT ST SUITE 620",
            "address_2": "OLSEN CHIROPRACTIC",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "92630",
            "telephone_number": "949-859-5192",
            "fax_number": "949-583-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTA",
        "first_name": "TARA",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARANEH",
            "last_name": "RASTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denise Ramirez
• Fabian Ramirez
• Savannah Ramirez
• Alejandra Garcia Randol
• Ricky Randolph
• Scott Ratliff, P.T., D.P.T.
• Shane Ravenelle, PT, DPT
• Ravonkavi Services
• Tamara Rayo
• Rebecca'S House

• Chiropractor in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.