Organization Active NPI

Paragon Chiropractic SCV Pavan Inc

  • Chiropractor
  • Newhall, CA
National Provider Identifier
1760293625
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PARAGON CHIROPRACTIC SCV PAVAN INC
Practice address
24509 Walnut St Ste 101
Newhall, CA 91321-2846
Phone
(661) 776-4500
NPI assigned
Jan 18, 2025
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Michael PavanNPI 1639313653
Title
Doctor of Chiropractic
Phone
(661) 776-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

24509 Walnut St Ste 101
Newhall, CA 91321-2846

Mailing address

24509 Walnut St Ste 101
Newhall, CA 91321-2846
Phone (661) 776-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250709000148 CA Part B Supplier - Clinic/Group Practice 6305350745 Receives reassigned benefits from 1 practitioner
Practice locations: Newhall, CA

National Provider Directory

National Provider Directory

Locations

24509 Walnut St
Ste 101
Newhall, CA 91321
Phone (661) 253-9600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1760293625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24509 WALNUT ST STE 101",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212846",
            "telephone_number": "661-776-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24509 WALNUT ST STE 101",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212846",
            "telephone_number": "661-776-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON CHIROPRACTIC SCV PAVAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "PAVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "661-776-4500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.