Individual provider Active NPI

Goudarz Vassigh, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1437365301
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5608 Issued in AZ
Practice address
4425 N 24TH St
Ste 125
Phoenix, AZ 85016-5596
Phone
(602) 956-8222
Fax
(602) 956-8333
NPI assigned
May 15, 2007
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5608 AZ Primary

Addresses

Primary practice location

4425 N 24TH St
Ste 125
Phoenix, AZ 85016-5596

Mailing address

4425 N 24TH St
Ste 125
Phoenix, AZ 85016-5596
Phone (602) 956-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4425 N 24TH St
Suite 125
Phoenix, AZ 85016-5596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1437365301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 N 24TH ST",
            "address_2": "STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165596",
            "telephone_number": "602-956-8222",
            "fax_number": "602-956-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 N 24TH ST",
            "address_2": "STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165596",
            "telephone_number": "602-956-8222",
            "fax_number": "602-956-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSIGH",
        "first_name": "GOUDARZ",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.