Omer Sahan Boysan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32238 Issued in CA

Practice address

21049 Devonshire St Ste 102
Chatsworth, CA 91311-2375

Phone

(818) 686-5983

Fax

(818) 550-6694

NPI assigned

Mar 7, 2012

Last updated

May 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Chiropractic, Inc

  • Chiropractor
  • Chatsworth, CA
  • NPI 1629657051
  NPD Authorized official

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1093089138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21049 DEVONSHIRE ST STE 102",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112375",
            "telephone_number": "818-335-1537",
            "fax_number": "818-550-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21049 DEVONSHIRE ST STE 102",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112375",
            "telephone_number": "818-686-5983",
            "fax_number": "818-550-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYSAN",
        "first_name": "OMER",
        "middle_name": "SAHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHLINK ID",
            "identifier": "OB1140055",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12355706",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ildiko Roxane Bocskay, PHD, PMHNP-BC
• Marina Bondarenko, RN
• Thomas Meredith Booth, LCSW
• Leslie Borodi, C E ADMINISTRATOR
• Kevin Boyd, LCSW
• John Davies Bracken, MFT
• Sima Braude, MSW
• Marlon Briggs
• Bright Universe Hospice Care Inc
• Mia Broker, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.

Verify at the official NPI Registry.