Active NPI
Amir Shababi, D.C.
- Chiropractor
- Pinole, CA
National Provider Identifier
1154001519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36653
- Practice address
- 2782 Pinole Valley Rd
Pinole, CA 94564-1425 - Phone
- (510) 854-9200
- NPI assigned
- Jul 20, 2023
- Last updated
- Jul 20, 2023
- 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 | 36653 | CA | Primary |
Addresses
Primary practice location
2782 Pinole Valley Rd
Pinole, CA 94564-1425
Mailing address
2782 Pinole Valley Rd
Pinole, CA 94564-1425
Phone (510) 854-9200
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 |
|---|---|---|---|
| 36653 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1154001519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2782 PINOLE VALLEY RD",
"city": "PINOLE",
"state": "CA",
"postal_code": "945641425",
"telephone_number": "510-854-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2782 PINOLE VALLEY RD",
"city": "PINOLE",
"state": "CA",
"postal_code": "945641425",
"telephone_number": "510-854-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHABABI",
"first_name": "AMIR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "36653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.