Patrick Javidan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27094 Issued in CA

Practice address

9524 Kearny Villa Rd
Suite 111
San Diego, CA 92126-4582

Phone

(858) 693-3196

Fax

(858) 695-9201

NPI assigned

Jul 31, 2006

Last updated

Mar 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• True Health Medical San Diego PC

  dba True Health Medical San Diego

  • Integrative Medicine Physician
  • San Diego, CA
  • NPI 1427734144
  NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1629084678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524 KEARNY VILLA RD",
            "address_2": "SUITE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264582",
            "telephone_number": "858-693-3196",
            "fax_number": "858-695-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9524 KEARNY VILLA RD",
            "address_2": "SUITE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264582",
            "telephone_number": "858-693-3196",
            "fax_number": "858-695-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVIDAN",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "DC0270940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nazafarin Javdan, D.D.S.
• Khurram Javed
• Kinaan Faridun Javed, DO
• Javidan Dentistry
• Mitra Javidan Mazdyasni, DMD
• Susan J. Javidan, P.T.
• Babak Javidi, DMD
• Juan Francisco Javier-Desloges, M.D.
• Ailiz Javier
• Jennifer Michele Javors, MD

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.