Organization Active NPI

Devakhshesh Chiropractic Inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1093897746
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
25524273 Issued in CA
Legal business name
DEVAKHSHESH CHIROPRACTIC INC
Practice address
1016 S Robertson Blvd # 1
Los Angeles, CA 90035-1505
Phone
(310) 652-9283
NPI assigned
Oct 20, 2006
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Alfred A DerakhsheshNPI 1336183110
Title
Chiropractor (President)
Phone
(310) 652-9293

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
Chiropractor 111N00000X 25524273 CA Primary

Addresses

Primary practice location

1016 S Robertson Blvd # 1
Los Angeles, CA 90035-1505

Mailing address

1016 S Robertson Blvd # 1
Los Angeles, CA 90035-1505
Phone (310) 652-9283

Other identifiers 1

IdentifierTypeStateIssuer
DC24112OtherCACHIROPRACTOR

Other names 1

  • new wave health care center Other name

National Provider Directory

National Provider Directory

Locations

1016 S Robertson Blvd
#1
Los Angeles, CA 90035
Phone (310) 652-9283

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1093897746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 S ROBERTSON BLVD # 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351505",
            "telephone_number": "310-652-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S ROBERTSON BLVD # 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351505",
            "telephone_number": "310-652-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVAKHSHESH CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "DERAKHSHESH",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR  (PRESIDENT)",
        "authorized_official_telephone_number": "310-652-9293"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "25524273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "DC24112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "new wave health care center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 11, 2008; 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.