Organization Active NPI

Takahashi Chiropractic Corporation

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1184862351
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25299 Issued in CA
Legal business name
TAKAHASHI CHIROPRACTIC CORPORATION
Practice address
11340 W. Olympic Blvd.
Suite 340
Los Angeles, CA 90064-1613
Phone
(310) 445-1050
Fax
(310) 445-1060
NPI assigned
Jan 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Brandon David Takahashi, D.C.NPI 1346253853
Title
Chiropractor/Owner
Phone
(310) 445-1050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC25299 CA Primary

Addresses

Primary practice location

11340 W. Olympic Blvd.
Suite 340
Los Angeles, CA 90064-1613

Mailing address

11340 W. Oympic Blvd.
Suite 340
Los Angeles, CA 90064-1613
Phone (310) 445-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120918000499 CA Part B Supplier - Clinic/Group Practice 1254589104 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Tax ID family
Takahashi Chiropractic Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11340 W Olympic Blvd
Ste 340
Los Angeles, CA 90064
Phone (310) 445-1050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1184862351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 W. OYMPIC BLVD.",
            "address_2": "SUITE 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641613",
            "telephone_number": "310-445-1050",
            "fax_number": "310-445-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W. OLYMPIC BLVD.",
            "address_2": "SUITE 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641613",
            "telephone_number": "310-445-1050",
            "fax_number": "310-445-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKAHASHI CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "TAKAHASHI",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "310-445-1050",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.