DR. PATRICK JAVIDAN D.C.
NPI 1629084678
Chiropractor in San Diego, CA

Q: What is Patrick Javidan's NPI number?

The NPI number for Patrick Javidan is 1629084678. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Patrick Javidan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Javidan was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2006

9524 KEARNY VILLA RD, SUITE 111, SAN DIEGO, CA 92126(858) 693-3196(858) 695-9201 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Patrick Javidan D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICK JAVIDAN D.C. (NPI 1629084678) is an individual chiropractor in San Diego, California, licensed in California (DC27094) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1629084678

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. PATRICK JAVIDANCredential: D.C.

Location Address9524 KEARNY VILLA RD, SUITE 111San Diego, CA 92126-4582

Mailing Address9524 Kearny Villa Rd, Suite 111San Diego, CA 92126-4582 · (858) 693-3196 · Fax (858) 695-9201

Phone(858) 693-3196

Fax(858) 695-9201

Sole ProprietorNo

Enumeration DateJuly 31, 2006

Last NPPES UpdateMarch 11, 2013

✔ NPI 1629084678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC27094

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

9524 KEARNY VILLA RD, San Diego, CA 92126

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Other Identifiers 3

OtherDC0270940CA · Blue Shield Provider #

Medicare UPINDC0270940CA

Medicare ID-Type UnspecifiedW16450CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YAM GONG GAN D.M.D.

Dentist (General Practice)

9524 KEARNY VILLA RD, SUITE 103
SAN DIEGO, CA 92126

San Diego County (858) 271-8850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Javidan's NPI number?

The NPI number for Patrick Javidan is 1629084678. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Patrick Javidan located?

Patrick Javidan practices at 9524 Kearny Villa Rd Suite 111, San Diego, CA 92126. The listed phone number is (858) 693-3196.

What is Patrick Javidan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Patrick Javidan was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.