Individual provider Active NPI

Afshin Kaivan-Mehr, D.C

  • Chiropractor
  • La Verne, CA
National Provider Identifier
1205032653
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30602 Issued in CA
Practice address
2138 Bonita Ave
La Verne, CA 91750-4915
Phone
(909) 596-1038
Fax
(909) 596-6059
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30602 CA Primary

Addresses

Primary practice location

2138 Bonita Ave
La Verne, CA 91750-4915

Mailing address

2138 Bonita Ave
La Verne, CA 91750-4915
Phone (909) 596-1038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201001492 CA Practitioner - Chiropractic 9931692894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1350 Foothill Blvd
La Verne, CA 91750-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-30602CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaivan-Mehr Chiropractic Inc Chiropractor CurrentSince Sep 14, 2025 Accepting new patients
La Verne Family Chiropractic Past Accepting new patients
California Stat Laboratories Past Accepting new patients

Locations

2138 Bonita Ave
La Verne, CA 91750
Phone (909) 596-1038

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1205032653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 BONITA AVE",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917504915",
            "telephone_number": "909-596-1038",
            "fax_number": "909-596-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 BONITA AVE",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917504915",
            "telephone_number": "909-596-1038",
            "fax_number": "909-596-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIVAN-MEHR",
        "first_name": "AFSHIN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.