Provider Demographics
NPI:1164775177
Name:NESSARI, PARVIZ (BS, DC)
Entity Type:Individual
Prefix:DR
First Name:PARVIZ
Middle Name:
Last Name:NESSARI
Suffix:
Gender:M
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6170 THORNTON AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-3700
Mailing Address - Country:US
Mailing Address - Phone:510-894-4650
Mailing Address - Fax:510-894-4650
Practice Address - Street 1:6170 THORNTON AVE
Practice Address - Street 2:SUITE H
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-3700
Practice Address - Country:US
Practice Address - Phone:510-894-4650
Practice Address - Fax:510-894-4650
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor