Pazdel Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PAZDEL CHIROPRACTIC INC

Practice address

258 Sunset Ave
Ste I
Suisan, CA 94585

Phone

(707) 429-4861

Fax

(707) 429-3871

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bejan Pazdel, DCNPI 1427151919

Title

Owner/Chiropractor

Phone

(707) 429-4861

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Bejan A Pazdel, DC

  • Chiropractor
  • Suisun, CA
  • NPI 1427151919
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346350667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 SUNSET AVE",
            "address_2": "STE I",
            "city": "SUISAN",
            "state": "CA",
            "postal_code": "94585",
            "telephone_number": "707-429-4861",
            "fax_number": "707-429-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 SUNSET AVE",
            "address_2": "STE I",
            "city": "SUISAN",
            "state": "CA",
            "postal_code": "94585",
            "telephone_number": "707-429-4861",
            "fax_number": "707-429-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAZDEL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAZDEL",
        "authorized_official_first_name": "BEJAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "707-429-4861",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.