Organization Active NPI

Nasim Spine and Therapy Chiropractic Corp

  • Chiropractor
  • Palo Alto, CA
National Provider Identifier
1306545884
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NASIM SPINE AND THERAPY CHIROPRACTIC CORP
Practice address
2504 Ash St
Palo Alto, CA 94306-1804
Phone
(650) 327-0703
NPI assigned
Feb 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Dr. Nasim Nemat-Gorgani, DCNPI 1174975510
Title
Owner
Phone
(408) 892-2663

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2504 Ash St
Palo Alto, CA 94306-1804

Mailing address

2504 Ash St
Palo Alto, CA 94306-1804
Phone (650) 327-0703

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230314001647 CA Part B Supplier - Clinic/Group Practice 0840664835 Receives reassigned benefits from 1 practitioner
Practice locations: Palo Alto, CA

National Provider Directory

National Provider Directory

Locations

2504 Ash St
Palo Alto, CA 94306
Phone (650) 327-0703

Practitioners & affiliated clinicians

Practitioners 2

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": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1306545884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 ASH ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061804",
            "telephone_number": "650-327-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 ASH ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061804",
            "telephone_number": "650-327-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASIM SPINE AND THERAPY CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "NEMAT-GORGANI",
        "authorized_official_first_name": "NASIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-892-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.