Individual provider Active NPI

Pejman P Behrouzi, D.C.

  • Chiropractor
  • Encinitas, CA
National Provider Identifier
1336210954
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 23741 Issued in CA
Practice address
345 S Coast Highway 101 Ste a
Encinitas, CA 92024-3552
Phone
(760) 487-5212
Fax
(760) 487-5213
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23741 CA
Chiropractor 111N00000X DC 23741 CA Primary

Addresses

Primary practice location

345 S Coast Highway 101 Ste a
Encinitas, CA 92024-3552

Mailing address

345 S Coast Highway 101 Ste a
Encinitas, CA 92024-3552
Phone (760) 487-5212

Other practice location 1

4829 Convoy St
San Diego, CA 92111-1610
Phone (858) 279-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 23741CAMDChiropractor
DC23741CAMDChiropractor
23741CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Von Buelow Chiropractic Inc. Chiropractor Past Accepting new patients
L. Ferguson Chiropractic Inc. Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1336210954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 S COAST HIGHWAY 101 STE A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243552",
            "telephone_number": "760-487-5212",
            "fax_number": "760-487-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S COAST HIGHWAY 101 STE A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243552",
            "telephone_number": "760-487-5212",
            "fax_number": "760-487-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4829 Convoy St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921111610",
            "country_code": "US",
            "telephone_number": "858-279-7222",
            "fax_number": "858-279-5343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHROUZI",
        "first_name": "PEJMAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23741",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 23741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.