Organization Active NPI

Dr. Kiana Kiasaleh, Chiropractic Inc.

  • Clinic/Center
  • Oak Park, CA
National Provider Identifier
1083801310
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC 22035 Issued in CA
Legal business name
DR. KIANA KIASALEH, CHIROPRACTIC INC.
Practice address
1072 Powderhorn CT
Oak Park, CA 91377-3927
Phone
(818) 879-1922
Fax
(805) 495-4946
NPI assigned
Oct 1, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Kiana Kiasaleh, D.C.NPI 1801931167
Title
Doctor of Chiropractic
Phone
(310) 429-6610

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
Clinic/Center 261Q00000X DC 22035 CA Primary

Addresses

Primary practice location

1072 Powderhorn CT
Oak Park, CA 91377-3927

Mailing address

1072 Powderhorn CT
Oak Park, CA 91377-3927
Phone (818) 879-1922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220413002492 CA Part B Supplier - Clinic/Group Practice 0648666917 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

860 Hampshire Rd
Ste P
Westlake Village, CA 91361
Phone (559) 326-8395

880 Hampshire Rd
Ste R
Westlake Village, CA 91361
Phone (805) 870-4202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1083801310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 POWDERHORN CT",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913773927",
            "telephone_number": "818-879-1922",
            "fax_number": "805-495-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 POWDERHORN CT",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913773927",
            "telephone_number": "818-879-1922",
            "fax_number": "805-495-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIANA KIASALEH, CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "KIASALEH",
        "authorized_official_first_name": "KIANA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "310-429-6610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC 22035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.