Individual provider Active NPI

Randy Shane Higashi, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1093724320
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26404 Issued in CA
Practice address
163 S. Avenue 24 Suite 203 & 204
Los Angeles, CA 90031
Phone
(323) 546-3500
Fax
(323) 638-1253
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26404 CA Primary

Addresses

Primary practice location

163 S. Avenue 24 Suite 203 & 204
Los Angeles, CA 90031

Mailing address

13502 Whittier Blvd., Suite H #507
Whittier, CA 90605-1944
Phone (323) 546-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26404CAMDChiropractor
26404CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Higashi Chiropractic Clinic, Inc. Chiropractor Current Accepting new patients
Randy S. Higashi Chiropractic, Inc. Chiropractor PastSince Feb 1, 2007 Accepting new patients

Locations

3621 Martin Luther King Jr Blvd
Ste 14
Lynwood, CA 90262
Phone (310) 537-5810

Organizations & group practices 2

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1093724320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13502 WHITTIER BLVD., SUITE H #507",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051944",
            "telephone_number": "323-546-3500",
            "fax_number": "323-638-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S. AVENUE 24 SUITE 203 & 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90031",
            "telephone_number": "323-546-3500",
            "fax_number": "323-638-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGASHI",
        "first_name": "RANDY",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.