Organization Active NPI

Nazemi Chiropractic Corp.

  • Chiropractor
  • Palm Desert, CA
National Provider Identifier
1487912655
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NAZEMI CHIROPRACTIC CORP.
Practice address
74000 Country Club Dr Ste A5
Palm Desert, CA 92260-1677
Phone
(760) 773-3400
Fax
(760) 771-3200
NPI assigned
Apr 25, 2012
Last updated
Feb 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NAZEMI CHIROPRACTIC CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Stephanie Alyece Nazemi, D.CNPI 1528329257
Title
Treasurer
Phone
(760) 773-3400

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 32245 CA
Chiropractor 111N00000X 32276 CA
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

74000 Country Club Dr Ste A5
Palm Desert, CA 92260-1677

Mailing address

74000 Country Club Dr Ste A5
Palm Desert, CA 92260-1677
Phone (760) 773-3400

Other practice location 1

74000 Country Club Drive
Suite E4
Palm Desert, CA 92260
Phone (760) 773-3400

Other identifiers 1

IdentifierTypeStateIssuer
GF049AOtherCAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120629000434 CA Part B Supplier - Clinic/Group Practice 9739344581 Receives reassigned benefits from 4 practitioners
Practice locations: Palm Desert, CA

National Provider Directory

National Provider Directory
Part of
Nazemi Chiropractic Corp

Locations

74000 Country Club Dr
Ste A5
Palm Desert, CA 92260
Phone (760) 773-3400

Practitioners & affiliated clinicians

Practitioners 4

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": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1487912655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74000 COUNTRY CLUB DR STE A5",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601677",
            "telephone_number": "760-773-3400",
            "fax_number": "760-771-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74000 COUNTRY CLUB DR STE A5",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601677",
            "telephone_number": "760-773-3400",
            "fax_number": "760-771-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74000 Country Club Drive",
            "address_2": "Suite E4",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "92260",
            "country_code": "US",
            "telephone_number": "760-773-3400",
            "fax_number": "760-771-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAZEMI CHIROPRACTIC CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAZEMI CHIROPRACTIC CORP.",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "NAZEMI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ALYECE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "760-773-3400",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32245",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32276",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GF049A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.