Organization Active NPI

Avakian Chiropractic and Performance, Incorporated

Doing business as Diablo Active Rehab and Spine

  • Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1689366379
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AVAKIAN CHIROPRACTIC AND PERFORMANCE, INCORPORATED
Doing business as
Diablo Active Rehab and Spine
Practice address
3011 Citrus Cir Ste 102
Walnut Creek, CA 94598-2671
Phone
(925) 864-6507
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Dr. Jared Avakian, DC
Title
Doctor of Chiropractic
Phone
(925) 864-6507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3011 Citrus Cir Ste 102
Walnut Creek, CA 94598-2671

Mailing address

3011 Citrus Cir Ste 102
Walnut Creek, CA 94598-2671
Phone (925) 864-6507

Other names 1

  • Diablo Active Rehab and Spine Doing business as

National Provider Directory

National Provider Directory

Locations

3011 Citrus Cir
Ste 102
Walnut Creek, CA 94598
Phone (925) 864-6507

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1689366379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 CITRUS CIR STE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982671",
            "telephone_number": "925-864-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 CITRUS CIR STE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982671",
            "telephone_number": "925-864-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAKIAN CHIROPRACTIC AND PERFORMANCE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "AVAKIAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "925-864-6507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diablo Active Rehab and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.