Organization Active NPI

Moshrefi Chiropractic Corporation

  • Health Maintenance Organization
  • Riverside, CA
National Provider Identifier
1619115177
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
DC-27824 Issued in CA
Legal business name
MOSHREFI CHIROPRACTIC CORPORATION
Practice address
1450 University Ave Ste E
Riverside, CA 92507-4411
Phone
(951) 222-2002
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Ben Moshrefi
Title
Owner
Phone
(951) 222-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X DC-27824 CA Primary

Addresses

Primary practice location

1450 University Ave Ste E
Riverside, CA 92507-4411

Mailing address

1450 University Ave Ste E
Riverside, CA 92507-4411
Phone (951) 222-2002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090520000014 CA Part B Supplier - Clinic/Group Practice 1557410610 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

1450 University Ave
Ste E
Riverside, CA 92507
Phone (951) 222-2002

5225 Canyon Crest Dr
Ste 17
Riverside, CA 92507
Phone (951) 222-2002

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": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1619115177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 UNIVERSITY AVE STE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074411",
            "telephone_number": "951-222-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 UNIVERSITY AVE STE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074411",
            "telephone_number": "951-222-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHREFI CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MOSHREFI",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-222-2002"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "DC-27824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.