Organization Active NPI

McHaney Chiropractic Corporation

  • Chiropractor
  • Duarte, CA
National Provider Identifier
1396767364
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29560 Issued in CA
Legal business name
MCHANEY CHIROPRACTIC CORPORATION
Doing business as
Duarte Family Chiropractic
Practice address
924 Buena Vista St
Ste. 103
Duarte, CA 91010-1779
Phone
(626) 359-3956
Fax
(626) 359-3247
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Dr. Maggie Pezeshkian, D.C.NPI 1649292608
Title
Vice President
Phone
(626) 359-3956

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC29523 CA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC29560 CA Primary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X DC29523 CA
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X DC29560 CA

Addresses

Primary practice location

924 Buena Vista St
Ste. 103
Duarte, CA 91010-1779

Mailing address

924 Buena Vista St
Ste. 103
Duarte, CA 91010-1779
Phone (626) 359-3956

Other names 1

  • Duarte Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100204000073 CA Part B Supplier - Clinic/Group Practice 0345337218 Receives reassigned benefits from 1 practitioner
Practice locations: Duarte, CA

National Provider Directory

National Provider Directory

Locations

924 Buena Vista St
Ste 103
Duarte, CA 91010
Phone (626) 359-3956

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1396767364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 BUENA VISTA ST",
            "address_2": "STE. 103",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101779",
            "telephone_number": "626-359-3956",
            "fax_number": "626-359-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 BUENA VISTA ST",
            "address_2": "STE. 103",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101779",
            "telephone_number": "626-359-3956",
            "fax_number": "626-359-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHANEY CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "PEZESHKIAN",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "626-359-3956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29523",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29560",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC29523",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC29560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duarte Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.