Active NPI
Sevak E. Khodabakhshian, D.C.
- Rehabilitation Chiropractor
- Thousand Oaks, CA
National Provider Identifier
1043398589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC22785
- Practice address
- 325 Rolling Oaks Dr Ste 250
Thousand Oaks, CA 91361-1087 - Phone
- (805) 230-2673
- Fax
- (805) 230-2134
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC22785 | CA | Primary |
Addresses
Primary practice location
325 Rolling Oaks Dr Ste 250
Thousand Oaks, CA 91361-1087
Mailing address
325 Rolling Oaks Dr Ste 250
Thousand Oaks, CA 91361-1087
Phone (805) 230-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
325 E Rolling Oaks Dr
Thousand Oaks, CA 91361-1087
Phone (805) 230-1199
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC22785 | CA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khodabakhshian Chiropractic Inc | Rehabilitation | Current | Accepting new patients |
Locations
325 Rolling Oaks Dr
Ste 250
Thousand Oaks, CA 91361
Phone (805) 230-1199
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043398589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 ROLLING OAKS DR STE 250",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611087",
"telephone_number": "805-230-2673",
"fax_number": "805-230-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 ROLLING OAKS DR STE 250",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611087",
"telephone_number": "805-230-2673",
"fax_number": "805-230-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHODABAKHSHIAN",
"first_name": "SEVAK",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC22785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.