Organization Active NPI

Farahnaz Jalali Chiropractic, Inc.

  • Chiropractor
  • Reseda, CA
National Provider Identifier
1386763126
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23023 Issued in CA
Legal business name
FARAHNAZ JALALI CHIROPRACTIC, INC.
Practice address
19231 Victory Blvd
Suite 556
Reseda, CA 91335-6308
Phone
(818) 668-8136
Fax
(818) 344-4349
NPI assigned
Mar 29, 2007
Last updated
Jul 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Dr. Farahnaz Jalali, D.C., Q.M.E.NPI 1467585711
Title
President
Phone
(818) 668-8136

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
Chiropractor 111N00000X DC23023 CA Primary

Addresses

Primary practice location

19231 Victory Blvd
Suite 556
Reseda, CA 91335-6308

Mailing address

19231 Victory Blvd
Suite 556
Reseda, CA 91335-6308
Phone (818) 668-8136

Other names 1

  • Alternative Health Group, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110926000838 CA Part B Supplier - Clinic/Group Practice 8527239417 Receives reassigned benefits from 1 practitioner
Practice locations: Reseda, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1386763126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD",
            "address_2": "SUITE 556",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356308",
            "telephone_number": "818-668-8136",
            "fax_number": "818-344-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD",
            "address_2": "SUITE 556",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356308",
            "telephone_number": "818-668-8136",
            "fax_number": "818-344-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAHNAZ JALALI CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "JALALI",
        "authorized_official_first_name": "FARAHNAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-668-8136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., Q.M.E."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Health Group, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.