Individual provider Active NPI

Ali Farahanchi, MS DC

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1659473734
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25862 Issued in CA
Practice address
803 Washington St
San Diego, CA 92103
Phone
(619) 298-2342
Fax
(619) 298-7215
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25862 CA Primary

Addresses

Primary practice location

803 Washington St
San Diego, CA 92103

Mailing address

2883 Meade Ave
# B
San Diego, CA 92116-4211
Phone (619) 298-2342

Other identifiers 1

IdentifierTypeStateIssuer
DC0258620MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000767 CA Practitioner - Chiropractic 4486821840 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2883 Meade Ave
Suite B
San Diego, CA 92116-4211
Phone (619) 298-2342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DC25862CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Farahanchi Chiropractic Corporation Chiropractor Past Accepting new patients
Acupuncture&Chiropractic Center of Escondido Professional Corporation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1659473734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 MEADE AVE",
            "address_2": "# B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164211",
            "telephone_number": "619-298-2342",
            "fax_number": "619-298-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-298-2342",
            "fax_number": "619-298-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAHANCHI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MS DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0258620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.

Verify at the official NPI Registry.