Organization Active NPI

Soleimani Chiropractic P C

Doing business as SDARC Wellness

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1396291738
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32288 Issued in CA
Legal business name
SOLEIMANI CHIROPRACTIC P C
Doing business as
SDARC Wellness
Practice address
7540 Metropolitan Dr Ste 108
San Diego, CA 92108-4416
Phone
(619) 280-0201
Fax
(619) 280-0801
NPI assigned
Aug 26, 2016
Last updated
Oct 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Dr. Shahram SoleimaniNPI 1801154067
Title
Chiropractor/Business Owner
Phone
(619) 280-0201

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Chiropractor 111N00000X 32288 CA Primary
Acupuncturist 171100000X AC12182 CA

Addresses

Primary practice location

7540 Metropolitan Dr Ste 108
San Diego, CA 92108-4416

Mailing address

9040 Friars Rd Ste 401
San Diego, CA 92108-5859
Phone (619) 280-0201

Other identifiers 1

IdentifierTypeStateIssuer
GW975AOtherCAMEDICARE PTAN

Other names 1

  • SDARC Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL EZNOTES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190319000653 CA Part B Supplier - Clinic/Group Practice 2567702186 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

9040 Friars Rd
Ste 401
San Diego, CA 92108
Phone (619) 280-0801

Practitioners & affiliated clinicians

Practitioners 8

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": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1396291738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 FRIARS RD STE 401",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085859",
            "telephone_number": "619-280-0201",
            "fax_number": "619-280-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 METROPOLITAN DR STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084416",
            "telephone_number": "619-280-0201",
            "fax_number": "619-280-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEIMANI CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "SOLEIMANI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "CHIROPRACTOR/BUSINESS OWNER",
        "authorized_official_telephone_number": "619-280-0201",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32288",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GW975A",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EZNOTES",
            "affiliation": "N",
            "endpointDescription": "SOAP NOTES",
            "address_1": "9040 Friars Rd Ste 401",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921085859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SDARC Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.