Individual provider Active NPI

Alan K Zenimura, D.C.

  • Chiropractor
  • Selma, CA
National Provider Identifier
1902995517
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24254 Issued in CA
Practice address
3275 McCall Ave
100
Selma, CA 93662-2505
Phone
(559) 896-9500
Fax
(559) 896-2729
NPI assigned
Oct 12, 2006
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24254 CA Primary

Addresses

Primary practice location

3275 McCall Ave
100
Selma, CA 93662-2505

Mailing address

15520 Rockfield Blvd A200
Irvine, CA 92618-6705
Phone (949) 598-9999

Other identifiers 1

IdentifierTypeStateIssuer
DC0242540OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129001206 CA Practitioner - Chiropractic 0345143053 Practice locations: Selma, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17702 Mitchell N
Suite 250
Irvine, CA 93662-2670

3275 McCall Ave
Suite 100
Selma, CA 93662-2670
Phone (559) 896-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24254CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Randel M Yano DC a Chiropractic Chiropractor PastSince Nov 18, 2017 Accepting new patients
Ries Chiropractic Associates Apc Chiropractor Past Accepting new patients

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1902995517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 ROCKFIELD BLVD A200",
            "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": "3275 MCCALL AVE",
            "address_2": "100",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936622505",
            "telephone_number": "559-896-9500",
            "fax_number": "559-896-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENIMURA",
        "first_name": "ALAN",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0242540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.