Organization Active NPI

Paragon Chiropractic, Pavan Inc.

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1316225345
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PARAGON CHIROPRACTIC, PAVAN INC.
Practice address
1821 Wilshire Blvd
Suite 500
Santa Monica, CA 90403-5618
Phone
(310) 453-4700
Fax
(310) 453-1801
NPI assigned
Jul 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Michael Pavan, D.C.
Title
Doctor of Chiropractic
Phone
(310) 453-4700

Specialties & licenses 1

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

Addresses

Primary practice location

1821 Wilshire Blvd
Suite 500
Santa Monica, CA 90403-5618

Mailing address

1821 Wilshire Blvd
Suite 500
Santa Monica, CA 90403-5618
Phone (310) 453-4700

National Provider Directory

National Provider Directory

Locations

1821 Wilshire Blvd
Ste 500
Santa Monica, CA 90403
Phone (310) 451-4888

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1316225345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD",
            "address_2": "SUITE 500",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035618",
            "telephone_number": "310-453-4700",
            "fax_number": "310-453-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD",
            "address_2": "SUITE 500",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035618",
            "telephone_number": "310-453-4700",
            "fax_number": "310-453-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON CHIROPRACTIC, PAVAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "PAVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "310-453-4700",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.