Active NPI
Ashkan Jalili, D.C.
- Chiropractor
- Santa Monica, CA
National Provider Identifier
1124017264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC20980
- Practice address
- 1304 15TH St
218
Santa Monica, CA 90404-1809 - Phone
- (310) 394-9436
- Fax
- (310) 394-5765
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- No
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 | DC20980 | CA | Primary |
Addresses
Primary practice location
1304 15TH St
218
Santa Monica, CA 90404-1809
Mailing address
1304 15TH St
218
Santa Monica, CA 90404-1809
Phone (310) 394-9436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0280980 | Other | CA | BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC20980 | CA | MD | Chiropractor |
| 28098 | CA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert L. Portillo, D.P.M., Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Santa Monica, CA
- NPI 1942488879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124017264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 15TH ST",
"address_2": "218",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041809",
"telephone_number": "310-394-9436",
"fax_number": "310-394-5765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 15TH ST",
"address_2": "218",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041809",
"telephone_number": "310-394-9436",
"fax_number": "310-394-5765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JALILI",
"first_name": "ASHKAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC20980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC0280980",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.