Individual provider Active NPI

Mina Pashayi-Marandi, DC

  • Chiropractor
  • Marina del Rey, CA
National Provider Identifier
1740933399
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36244 Issued in CA
Practice address
2905 Stanford Ave Ste a
Marina del Rey, CA 90292-5524
Phone
(818) 317-4115
NPI assigned
Feb 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36244 CA Primary
Rehabilitation Chiropractor 111NR0400X DC36244 CA

Addresses

Primary practice location

2905 Stanford Ave Ste a
Marina del Rey, CA 90292-5524

Mailing address

2905 Stanford Ave Ste a
Marina del Rey, CA 90292-5524
Phone (818) 317-4115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC36244CAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pashayi Chiropractic Corp Chiropractor CurrentSince Jul 21, 2024 Accepting new patients

Locations

2905 Stanford Ave
#A
Marina del Rey, CA 90292
Phone (310) 208-7112

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.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1740933399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 STANFORD AVE STE A",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925524",
            "telephone_number": "818-317-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 STANFORD AVE STE A",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925524",
            "telephone_number": "818-317-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASHAYI-MARANDI",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36244",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC36244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.