Golan Nissim, D.C., A.R.T., Q.M.E.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25362 Issued in CA

Practice address

10738 Riverside Dr
Ste a
Toluca Lake, CA 91602-2313

Phone

(818) 766-4307

Fax

(818) 766-4309

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Care Sports Medicine and Rehabilitation Center IncGroup PAC ID 6406179274, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Performance Care Sports Medicine & Rehabilitation Center, Inc.

  • Internal Medicine Physician
  • Toluca Lake, CA
  • NPI 1487880399

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official
• Golan Nissim Professional Chiropractic Corporation

  • Chiropractor
  • Toluca Lake, CA
  • NPI 1053500892
  NPD (past) Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1932270147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10738 RIVERSIDE DR",
            "address_2": "STE A",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022313",
            "telephone_number": "818-766-4307",
            "fax_number": "818-766-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10738 RIVERSIDE DR",
            "address_2": "STE A",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022313",
            "telephone_number": "818-766-4307",
            "fax_number": "818-766-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSIM",
        "first_name": "GOLAN",
        "name_prefix": "Dr.",
        "credential": "D.C., A.R.T., Q.M.E.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Allison Murdoch, LCSW
• Hoosik Najarian, DDS
• Odet Najarian, D.D.S.
• Simon Nelson, L.AC.
• NFG Family Therapy
• Roy Nissim, D.C.
• Marielle Beatrix M Nunez, RN
• Nxtgen Labs Inc
• Layla Obledo
• Joel Olmos Jr., D.D.S.

• Chiropractor in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.