Individual provider Active NPI

Shahram Soleimani, D.C.

  • Chiropractor
  • La Jolla, CA
National Provider Identifier
1801154067
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32288 Issued in CA
Practice address
7301 Girard Ave
Suite 303
La Jolla, CA 92037-5125
Phone
(818) 424-3509
NPI assigned
Apr 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32288 CA Primary

Addresses

Primary practice location

7301 Girard Ave
Suite 303
La Jolla, CA 92037-5125

Mailing address

9388 Twin Trails Dr
Unit 203
San Diego, CA 92129-2672
Phone (818) 424-3509

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130130000130 CA Practitioner - Chiropractic 9931353810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Chiropractic Institute of New York, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7540 Metropolitan Dr
Suite 108
San Diego, CA 92108-4416
Phone (916) 280-0201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32288CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Soleimani Chiropractic P C Chiropractor CurrentSince Jan 1, 2019 Accepting new patients
Handland Occupational Therapy PC PastSince Feb 12, 2019 Accepting new patients

Locations

7540 Metropolitan Dr
Ste 108
San Diego, CA 92108
Phone (619) 280-0201

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1801154067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9388 TWIN TRAILS DR",
            "address_2": "UNIT 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292672",
            "telephone_number": "818-424-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 GIRARD AVE",
            "address_2": "SUITE 303",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375125",
            "telephone_number": "818-424-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLEIMANI",
        "first_name": "SHAHRAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.