Organization Active NPI

Pooyandeh Chiropractic Inc.

  • Chiropractor
  • Pomona, CA
National Provider Identifier
1720381478
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27512 Issued in CA
Legal business name
POOYANDEH CHIROPRACTIC INC.
Practice address
502 W.Holt Ave
Pomona, CA 91768
Phone
(909) 620-5699
Fax
(909) 620-5799
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Dr. Rasoul Pooyandeh, D.C.
Title
Ceo
Phone
(909) 620-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 27512 CA Primary

Addresses

Primary practice location

502 W.Holt Ave
Pomona, CA 91768

Mailing address

502 W Holt Ave
Pomona, CA 91768-3604
Phone (909) 620-5699

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1720381478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683604",
            "telephone_number": "909-620-5699",
            "fax_number": "909-620-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W.HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91768",
            "telephone_number": "909-620-5699",
            "fax_number": "909-620-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOYANDEH CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "POOYANDEH",
        "authorized_official_first_name": "RASOUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-620-5699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "27512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.