Individual provider Active NPI

Babak Behmardi Kalantari, DC

  • Chiropractor
  • Rancho Cordova, CA
National Provider Identifier
1194419762
Registry record updated Nov 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36434 Issued in CA
Practice address
11015 Olson Dr Ste 6
Rancho Cordova, CA 95670-5654
Phone
(916) 635-7798
Fax
(916) 636-0344
NPI assigned
Jun 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 36434 CA Primary

Addresses

Primary practice location

11015 Olson Dr Ste 6
Rancho Cordova, CA 95670-5654

Mailing address

4024 Lowdan CT
Roseville, CA 95747-7449
Phone (714) 936-1767

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
36434CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Behmardi Kalantari Chiropractic a California Professional Corporation Chiropractor CurrentSince Sep 15, 2024 Accepting new patients

Locations

11015 Olson Dr
Ste 6
Rncho Cordova, CA 95670
Phone (916) 635-7798

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.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1194419762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 LOWDAN CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477449",
            "telephone_number": "714-936-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 OLSON DR STE 6",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956705654",
            "telephone_number": "916-635-7798",
            "fax_number": "916-636-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHMARDI KALANTARI",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.