Organization Active NPI

Hadaya Chiropractic Inc.

  • Chiropractor
  • Palmdale, CA
National Provider Identifier
1316488497
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26871 Issued in CA
Legal business name
HADAYA CHIROPRACTIC INC.
Practice address
615 W Avenue Q Ste E
Palmdale, CA 93551-3887
Phone
(661) 947-2455
Fax
(661) 947-2770
NPI assigned
Mar 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Dr. Kinan Hadaya, DCNPI 1164469417
Title
Doctor
Phone
(661) 714-9075

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 DC26871 CA Primary

Addresses

Primary practice location

615 W Avenue Q Ste E
Palmdale, CA 93551-3887

Mailing address

615 W Avenue Q Ste E
Palmdale, CA 93551-3887
Phone (661) 947-2455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170418001847 CA Part B Supplier - Clinic/Group Practice 7517243025 Receives reassigned benefits from 1 practitioner
Practice locations: Palmdale, CA

National Provider Directory

National Provider Directory

Locations

18500 Via Princessa
Ste 3
Canyon Country, CA 91387
Phone (661) 252-2225

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": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1316488497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W AVENUE Q STE E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513887",
            "telephone_number": "661-947-2455",
            "fax_number": "661-947-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W AVENUE Q STE E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513887",
            "telephone_number": "661-947-2455",
            "fax_number": "661-947-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADAYA CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "HADAYA",
        "authorized_official_first_name": "KINAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "661-714-9075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.