Individual provider Active NPI

Delaram Shekarriz, DC

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1821513706
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34388 Issued in CA
Practice address
17975 Sky Park Cir Ste C
Irvine, CA 92614-6329
Phone
(949) 263-0270
Fax
(949) 263-0281
NPI assigned
Aug 11, 2017
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34388 CA Primary

Addresses

Primary practice location

17975 Sky Park Cir Ste C
Irvine, CA 92614-6329

Mailing address

17975 Sky Park Cir Ste C
Irvine, CA 92614-6329
Phone (949) 263-0270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515002109 CA Practitioner - Chiropractic 9032479118 Reassigns benefits to 1 organization
Practice locations: Irvine, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17975 Sky Park Cir
Suite C
Irvine, CA 92614-6329
Phone (949) 263-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34388CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shekarriz Chiropractic Inc. Chiropractor CurrentSince May 24, 2023 Accepting new patients
Lost Mountain Chiropractic Family and Pediatrics LLC Chiropractor CurrentSince May 1, 2020 Accepting new patients

Locations

17975 Sky Park Cir
Ste C
Irvine, CA 92614
Phone (714) 501-5222

1685 Mars Hill Rd NW
Ste 103
Acworth, GA 30101
Phone (770) 218-0400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1821513706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17975 SKY PARK CIR STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146329",
            "telephone_number": "949-263-0270",
            "fax_number": "949-263-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17975 SKY PARK CIR STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146329",
            "telephone_number": "949-263-0270",
            "fax_number": "949-263-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKARRIZ",
        "first_name": "DELARAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.