NPIMap

Organization Active NPI

Rutambhar Patel D.C. a Chiropractic Corporation

Doing business as Axiom Health

  • Chiropractor
  • Venice, CA
National Provider Identifier
1619298304
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25916 Issued in CA
Legal business name
RUTAMBHAR PATEL D.C. A CHIROPRACTIC CORPORATION
Doing business as
Axiom Health
Practice address
122 Lincoln Blvd
Suite 103
Venice, CA 90291-2826
Phone
(310) 399-3200
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Dr. Rutambhar Patel, D.C.NPI 1548266646
Title
President
Phone
(310) 399-3200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC25916 CA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC-9664 CA

Addresses

Primary practice location

122 Lincoln Blvd
Suite 103
Venice, CA 90291-2826

Mailing address

122 Lincoln Blvd
Suite 103
Venice, CA 90291-2826
Phone (310) 399-3200

Other names 1

  • Axiom Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1619298304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LINCOLN BLVD",
            "address_2": "SUITE 103",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912826",
            "telephone_number": "310-399-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LINCOLN BLVD",
            "address_2": "SUITE 103",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912826",
            "telephone_number": "310-399-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTAMBHAR PATEL D.C. A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUTAMBHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-399-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25916",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC-9664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axiom Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.