Organization Active NPI

Primary Health Clinic

  • Chiropractor
  • Encino, CA
National Provider Identifier
1801129333
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27494 Issued in CA
Legal business name
PRIMARY HEALTH CLINIC
Practice address
16101 Ventura Blvd
Suite 343
Encino, CA 91436-2500
Phone
(818) 779-1447
Fax
(818) 827-4748
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Elham Nemat, D.C.NPI 1124062401
Title
Partner
Phone
(818) 779-1447

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27494 CA Primary

Addresses

Primary practice location

16101 Ventura Blvd
Suite 343
Encino, CA 91436-2500

Mailing address

16101 Ventura Blvd
Suite 343
Encino, CA 91436-2500
Phone (818) 779-1447

Other identifiers 2

IdentifierTypeStateIssuer
DC27494OtherCAELHAM NEMAT, D.C.
DC31102OtherCASARA ARAMIPOUR, D.C.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100217000214 CA Part B Supplier - Clinic/Group Practice 1658415427 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1801129333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD",
            "address_2": "SUITE 343",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362500",
            "telephone_number": "818-779-1447",
            "fax_number": "818-827-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 VENTURA BLVD",
            "address_2": "SUITE 343",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362500",
            "telephone_number": "818-779-1447",
            "fax_number": "818-827-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "NEMAT",
        "authorized_official_first_name": "ELHAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "818-779-1447",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELHAM NEMAT, D.C.",
            "identifier": "DC27494",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SARA ARAMIPOUR, D.C.",
            "identifier": "DC31102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.