Back to Health Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC23625 Issued in CA

Legal business name

BACK TO HEALTH CHIROPRACTIC, INC.

Practice address

27450 Ynez Rd
116
Temecula, CA 92591-4649

Phone

(951) 587-2225

Fax

(951) 587-2220

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mark Banasiak, D.C.

Title

Dr of Chiropractic

Phone

(951) 587-2225

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1962582296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD",
            "address_2": "116",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "951-587-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD",
            "address_2": "116",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914649",
            "telephone_number": "951-587-2225",
            "fax_number": "951-587-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "BANASIAK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "951-587-2225",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0236250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Azim Azhand, M.D
• Azim U. Azhand, M.D. Professional Corporation
• Yasmeen Alexandra Azizian
• Eduard Babayan, MD
• Katelyn Ellen Bachand, DO
• Carrie W Bacon, M.D.
• Shelley Anne Baella, PA-C
• Carter Brian Baesen, RBT
• Maritza Bagby, RBT
• Sina Bagheri, DO

• Chiropractor in Temecula, CA
• Providers in Temecula, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.