Organization Active NPI

Pooyandeh Chiropractic, Inc.

  • Clinic/Center
  • Pomona, CA
National Provider Identifier
1619114899
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
27512 Issued in CA
Legal business name
POOYANDEH CHIROPRACTIC, INC.
Practice address
502 W Holt Ave
Pomona, CA 91768-3604
Phone
(909) 620-5699
Fax
(909) 620-5799
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Dr. Rasoul Pooyandeh, D.C.
Title
Ceo
Phone
(909) 620-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 27512 CA Primary

Addresses

Primary practice location

502 W Holt Ave
Pomona, CA 91768-3604

Mailing address

502 W Holt Ave
Pomona, CA 91768-3604
Phone (909) 620-5699

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1619114899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683604",
            "telephone_number": "909-620-5699",
            "fax_number": "909-620-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683604",
            "telephone_number": "909-620-5699",
            "fax_number": "909-620-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOYANDEH CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "POOYANDEH",
        "authorized_official_first_name": "RASOUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-620-5699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "27512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.