Active NPI
Michael Pavan, D.C.
- Chiropractor
- Newhall, CA
National Provider Identifier
1639313653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC31242
- Practice address
- 24509 Walnut St Ste 101
Newhall, CA 91321-2846 - Phone
- (661) 776-4500
- Fax
- (661) 253-9601
- NPI assigned
- Apr 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC31242 | CA | |
| Chiropractor | 111N00000X | DC31242 | CA | Primary |
Addresses
Primary practice location
24509 Walnut St Ste 101
Newhall, CA 91321-2846
Mailing address
24509 Walnut St Ste 101
Newhall, CA 91321-2846
Phone (661) 776-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC31242, | Other | CA | LICENCE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
24509 Walnut St
Suite 101
Newhall, CA 91321-2846
Phone (661) 776-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC31242 | CA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Chiropractic SCV Pavan Inc | Chiropractor | Current | Accepting new patients |
Locations
24509 Walnut St
Ste 101
Newhall, CA 91321
Phone (661) 253-9600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Newhall, CA
- NPI 1760293625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1639313653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24509 WALNUT ST STE 101",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913212846",
"telephone_number": "661-776-4500",
"fax_number": "661-253-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24509 WALNUT ST STE 101",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913212846",
"telephone_number": "661-776-4500",
"fax_number": "661-253-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVAN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-21",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC31242",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC31242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE NUMBER",
"identifier": "DC31242,",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newhall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.