Individual provider Active NPI

Morvarid Noorivaziri, D.C.

  • Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1871267724
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32258 Issued in CA
Practice address
1511 Treat Blvd Ste 100
Walnut Creek, CA 94598-1099
Phone
(925) 949-8911
Fax
(925) 949-8322
NPI assigned
Aug 4, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC32258 CA Primary

Addresses

Primary practice location

1511 Treat Blvd Ste 100
Walnut Creek, CA 94598-1099

Mailing address

15520 Rockfield Blvd
Irvine, CA 92618-6705
Phone (949) 598-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203001848 CA Practitioner - Chiropractic 6709274194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1511 Treat Blvd
Suite 100
Walnut Creek, CA 94598-1099
Phone (925) 949-8911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC32258CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Noorivaziri Chiropractic Solutions Inc Chiropractor CurrentSince Oct 1, 2021 Accepting new patients

Locations

15520 Rockfield Blvd
Ste A200
Irvine, CA 92618

1511 Treat Blvd
Ste 100
Walnut Creek, CA 94598
Phone (925) 949-8911

Organizations & group practices 1

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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1871267724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 ROCKFIELD BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926186705",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 TREAT BLVD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981099",
            "telephone_number": "925-949-8911",
            "fax_number": "925-949-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORIVAZIRI",
        "first_name": "MORVARID",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.