Organization Active NPI

Behmardi Kalantari Chiropractic a California Professional Corporation

  • Chiropractor
  • Rancho Cordova, CA
National Provider Identifier
1548097611
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BEHMARDI KALANTARI CHIROPRACTIC A CALIFORNIA PROFESSIONAL CORPORATION
Practice address
11015 Olson Dr Ste 6
Rancho Cordova, CA 95670-5654
Phone
(217) 645-1955
Fax
(312) 544-0203
NPI assigned
Sep 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Alex Garrett
Title
Credentialing Manager
Phone
(217) 645-1955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11015 Olson Dr Ste 6
Rancho Cordova, CA 95670-5654

Mailing address

11015 Olson Dr Ste 6
Rancho Cordova, CA 95670-5654

Other names 1

  • BEHMARDI KALANTARI CHIROPRACTIC A CALIFORNIA PROFESSIONAL CORPORATION Doing business as

National Provider Directory

National Provider Directory

Locations

11015 Olson Dr
Ste 6
Rncho Cordova, CA 95670
Phone (916) 635-7798

Practitioners & affiliated clinicians

Practitioners 1

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": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1548097611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11015 OLSON DR STE 6",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956705654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 OLSON DR STE 6",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956705654",
            "telephone_number": "217-645-1955",
            "fax_number": "312-544-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHMARDI KALANTARI CHIROPRACTIC A CALIFORNIA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "217-645-1955"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEHMARDI KALANTARI CHIROPRACTIC A CALIFORNIA PROFESSIONAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEHMARDI KALANTARI CHIROPRACTIC A CALIFORNIA PROFESSIONAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.