Organization Active NPI

La Verne Family Chiropractic

  • Preferred Provider Organization
  • La Verne, CA
National Provider Identifier
1942481973
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DC-30602 Issued in CA
Legal business name
LA VERNE FAMILY CHIROPRACTIC
Practice address
2138 Bonita Ave
La Verne, CA 91750-4915
Phone
(909) 596-1038
Fax
(909) 596-6059
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Dr. Afshin Kaivan-Mehr, D.C.NPI 1205032653
Title
Owner
Phone
(909) 596-1038

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
Preferred Provider Organization 305R00000X DC-30602 CA Primary

Addresses

Primary practice location

2138 Bonita Ave
La Verne, CA 91750-4915

Mailing address

2138 Bonita Ave
La Verne, CA 91750-4915
Phone (909) 596-1038

Other identifiers 1

IdentifierTypeStateIssuer
1205032653OtherCACHIROPRACTIC

National Provider Directory

National Provider Directory

Locations

2138 Bonita Ave
La Verne, CA 91750
Phone (909) 596-1038

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1942481973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 BONITA AVE",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917504915",
            "telephone_number": "909-596-1038",
            "fax_number": "909-596-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 BONITA AVE",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917504915",
            "telephone_number": "909-596-1038",
            "fax_number": "909-596-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VERNE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "KAIVAN-MEHR",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-596-1038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "DC-30602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "1205032653",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.