Organization Active NPI

Eric Tafreshi Chiropractic, Inc.

  • Corporate Health Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1760694855
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
DC25186 Issued in CA
Legal business name
ERIC TAFRESHI CHIROPRACTIC, INC.
Practice address
1120 W Warner Ave
Suite B
Santa Ana, CA 92707-3179
Phone
(714) 444-9774
Fax
(714) 444-9775
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Masoud Eric Tafreshi, DCNPI 1861532186
Title
President
Phone
(714) 444-9774

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
Corporate Health Clinic/Center 261QC1800X DC25186 CA Primary

Addresses

Primary practice location

1120 W Warner Ave
Suite B
Santa Ana, CA 92707-3179

Mailing address

1120 W Warner Ave
Suite B
Santa Ana, CA 92707-3179
Phone (714) 444-9774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171013002606 CA Part B Supplier - Clinic/Group Practice 0840565008 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

4121 Brockton Ave
#108
Riverside, CA 92501
Phone (951) 778-1130

1120 W Warner Ave
Ste B
Santa Ana, CA 92707
Phone (714) 444-9774

Practitioners & affiliated clinicians

Practitioners 3

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760694855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W WARNER AVE",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073179",
            "telephone_number": "714-444-9774",
            "fax_number": "714-444-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W WARNER AVE",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073179",
            "telephone_number": "714-444-9774",
            "fax_number": "714-444-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC TAFRESHI CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAFRESHI",
        "authorized_official_first_name": "MASOUD",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-444-9774",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "CA",
            "license": "DC25186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.