Organization Active NPI

Divine Healing Chiropractic Mousavi Inc

Doing business as Divine Healing Chiropractic Inc

  • Chiropractor
  • Santa Ana, CA
National Provider Identifier
1811666969
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DIVINE HEALING CHIROPRACTIC MOUSAVI INC
Doing business as
Divine Healing Chiropractic Inc
Practice address
2010 E 1St St #270
Santa Ana, CA 92705
Phone
(415) 828-9858
NPI assigned
Sep 11, 2021
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Azien Mousavi, DCNPI 1225594633
Title
Provider/Owner
Phone
(657) 221-5436

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 Primary

Addresses

Primary practice location

2010 E 1St St #270
Santa Ana, CA 92705

Mailing address

2010 E 1St St #270
Santa Ana, CA 92705
Phone (415) 828-9858

Other names 1

  • Divine Healing Chiropractic Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211208000775 CA Part B Supplier - Clinic/Group Practice 1759771603 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Niguel, CA

National Provider Directory

National Provider Directory

Locations

30100 Crown Valley Pkwy
Ste 16
Laguna Niguel, CA 92677
Phone (657) 345-2403

2010 E 1st St
Ste 270
Santa Ana, CA 92705
Phone (310) 254-0395

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": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1811666969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E 1ST ST #270",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "415-828-9858",
            "fax_number": "714-888-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 1ST ST #270",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "415-828-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALING CHIROPRACTIC MOUSAVI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2024-06-25",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "MOUSAVI",
        "authorized_official_first_name": "AZIEN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "657-221-5436",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Healing Chiropractic Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 25, 2024; 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.