NPIMap

Organization Active NPI

Berardi Chiropractic Clinic PC

  • Chiropractor
  • Fairfield, CA
National Provider Identifier
1386946150
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20511 Issued in CA
Legal business name
BERARDI CHIROPRACTIC CLINIC PC
Practice address
1590 Webster St.
Suite D
Fairfield, CA 94533
Phone
(707) 425-1021
Fax
(707) 425-4851
NPI assigned
Nov 29, 2010
Organization subpart
Yes
Parent organization
BERARDI CHIROPRACTIC CLINIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. Darrin David Berardi, D.C.
Title
Owner
Phone
(707) 425-1021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 20511 CA Primary

Addresses

Primary practice location

1590 Webster St.
Suite D
Fairfield, CA 94533

Mailing address

1590 Webster St.
Suite D
Fairfield, CA 94533
Phone (707) 425-1021

National Provider Directory

National Provider Directory
Part of
Berardi Chiropractic Clinic

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1386946150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 WEBSTER ST.",
            "address_2": "SUITE D",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "707-425-1021",
            "fax_number": "707-425-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WEBSTER ST.",
            "address_2": "SUITE D",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "707-425-1021",
            "fax_number": "707-425-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERARDI CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERARDI CHIROPRACTIC CLINIC PC",
        "enumeration_date": "2010-11-29",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "BERARDI",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-425-1021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.