Individual provider Active NPI

Amir Vafaee, D.C.

  • Chiropractor
  • Reseda, CA
National Provider Identifier
1174742076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24646 Issued in CA
Practice address
18210 Sherman Way
# 212
Reseda, CA 91335-4554
Phone
(818) 996-4600
Fax
(818) 996-9549
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24646 CA Primary

Addresses

Primary practice location

18210 Sherman Way
# 212
Reseda, CA 91335-4554

Mailing address

18210 Sherman Way
# 212
Reseda, CA 91335-4554
Phone (818) 996-4600

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

LicenseStateTypeSpecialty
DC24646CAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174742076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 SHERMAN WAY",
            "address_2": "# 212",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354554",
            "telephone_number": "818-996-4600",
            "fax_number": "818-996-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 SHERMAN WAY",
            "address_2": "# 212",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354554",
            "telephone_number": "818-996-4600",
            "fax_number": "818-996-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAFAEE",
        "first_name": "AMIR",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.