Individual provider Active NPI

Mansour Tafreshi, D.C.

  • Chiropractor
  • Riverside, CA
National Provider Identifier
1154439826
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24004 Issued in CA
Practice address
4121 Brockton Ave Ste 108
Riverside, CA 92501-3442
Phone
(949) 355-4226
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 24004 CA Primary

Addresses

Primary practice location

4121 Brockton Ave Ste 108
Riverside, CA 92501-3442

Mailing address

26322 Cannes Cir
Mission Viejo, CA 92692-5215
Phone (949) 355-4225

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
24004CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ironstone Medical Clinic Inc Current Accepting new patients
Mansour Tafreshi Chiro Inc Chiropractor CurrentSince Aug 1, 2008 Accepting new patients
Alfa Physical Therapy, Inc. PastSince Nov 1, 2009 Accepting new patients
KTST, Inc. PastSince Sep 29, 1998 Accepting new patients

Locations

4121 Brockton Ave
Ste 104
Riverside, CA 92501
Phone (951) 319-2739

4121 Brockton Ave
Ste 108
Riverside, CA 92501
Phone (949) 355-4222

Organizations & group practices 4

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1154439826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26322 CANNES CIR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925215",
            "telephone_number": "949-355-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 BROCKTON AVE STE 108",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013442",
            "telephone_number": "949-355-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFRESHI",
        "first_name": "MANSOUR",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.