Active NPI
Soseeg Shaheenian, D.C.
- Chiropractor
- San Fernando, CA
National Provider Identifier
1114331907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC21123
- Practice address
- 1000 N Maclay Ave
San Fernando, CA 91340-1326 - Phone
- (818) 564-0158
- NPI assigned
- Jun 19, 2014
- Reactivated
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC21123 | CA | Primary |
Addresses
Primary practice location
1000 N Maclay Ave
San Fernando, CA 91340-1326
Mailing address
1000 N Maclay Ave
San Fernando, CA 91340-1326
Phone (818) 365-8509
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC21123 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1114331907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N MACLAY AVE",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913401326",
"telephone_number": "818-365-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N MACLAY AVE",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913401326",
"telephone_number": "818-564-0158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHEENIAN",
"first_name": "SOSEEG",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"deactivation_date": "2022-09-12",
"reactivation_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC21123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.