Felisa Kimi Pagaran

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

1607 Issued in CA

Practice address

4217 Valley Ave
Martinez, CA 94553-1441

Phone

(650) 619-0067

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1720695836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 VALLEY AVE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945531441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 VALLEY AVE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945531441",
            "telephone_number": "650-619-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGARAN",
        "first_name": "FELISA",
        "middle_name": "KIMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austen Ott, MD
• Nancy Lynn Owens
• Frances Pabalate, BSN, RN, PHN, OCN
• Pacific Clinics
• Jeanne Marie Packey
• Elizabeth Susan Page, R.N.
• Sarah Ann Paglini
• Lauren L. Pak, FNP
• Albert M. Palitz, MD
• Rosaura Palomera

• Rehabilitation Chiropractor in Martinez, CA
• Providers in Martinez, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.