Organization Active NPI

Miramadi Chiropractic a Professional Corporation

  • Clinic/Center
  • Orange, CA
National Provider Identifier
1407253354
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC 33004 Issued in CA
Legal business name
MIRAMADI CHIROPRACTIC A PROFESSIONAL CORPORATION
Practice address
1122 E Lincoln Ave Ste B200
Orange, CA 92865-1918
Phone
(714) 602-7479
Fax
(714) 602-7408
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Authorized official

Name
Dr. Mandana Miramadi, DCNPI 1881090843
Title
President
Phone
(714) 602-7479

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
Clinic/Center 261Q00000X DC 33004 CA Primary

Addresses

Primary practice location

1122 E Lincoln Ave Ste B200
Orange, CA 92865-1918

Mailing address

PO Box 17633
Anaheim, CA 92817-7633
Phone (714) 602-7479

Other practice location 1

2050 W Chapman Ave Ste 106
Orange, CA 92868-2648
Phone (714) 602-7479

Other practice location 2

2050 W Chapman Ave Ste 106
Orange, CA 92868-2648
Phone (714) 602-7479

Other practice location 3

2950 N Glassell St
Suite A
Orange, CA 92865-1078
Phone (714) 283-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150128000727 CA Part B Supplier - Clinic/Group Practice 6002139656 Receives reassigned benefits from 1 practitioner
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

1122 E Lincoln Ave
Ste B200
Orange, CA 92865
Phone (714) 602-7479

2050 W Chapman Ave
Ste 106
Orange, CA 92868
Phone (714) 602-7479

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": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677888000000",
    "number": "1407253354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17633",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928177633",
            "telephone_number": "714-602-7479",
            "fax_number": "714-602-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE STE B200",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651918",
            "telephone_number": "714-602-7479",
            "fax_number": "714-602-7408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 W Chapman Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928682648",
            "country_code": "US",
            "telephone_number": "714-602-7479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 W Chapman Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928682648",
            "country_code": "US",
            "telephone_number": "714-602-7479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 N Glassell St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928651078",
            "country_code": "US",
            "telephone_number": "714-283-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRAMADI CHIROPRACTIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "MIRAMADI",
        "authorized_official_first_name": "MANDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-602-7479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC 33004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2023; 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.