NPIMap

Organization Active NPI

Bissani Chiropractic and Integrated Health PC

Doing business as Grand Terrace Chiropractic

  • Clinic/Center
  • Grand Terrace, CA
National Provider Identifier
1306457916
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BISSANI CHIROPRACTIC AND INTEGRATED HEALTH PC
Doing business as
Grand Terrace Chiropractic
Practice address
12139 Mount Vernon Ave Ste 100
Grand Terrace, CA 92313-5519
Phone
(909) 783-4950
NPI assigned
Aug 17, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Dr. Zakari Larbi Bissani, D.C.NPI 1982254512
Title
President
Phone
(909) 783-4950

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

12139 Mount Vernon Ave Ste 100
Grand Terrace, CA 92313-5519

Mailing address

12139 Mount Vernon Ave Ste 100
Grand Terrace, CA 92313-5519
Phone (909) 783-4950

Other names 1

  • Grand Terrace Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200921001803 CA Part B Supplier - Clinic/Group Practice 6901224187 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Terrace, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1306457916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12139 MOUNT VERNON AVE STE 100",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135519",
            "telephone_number": "909-783-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 MOUNT VERNON AVE STE 100",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135519",
            "telephone_number": "909-783-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISSANI CHIROPRACTIC AND INTEGRATED HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "BISSANI",
        "authorized_official_first_name": "ZAKARI",
        "authorized_official_middle_name": "LARBI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-783-4950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Terrace Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Terrace Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Terrace, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.