Active NPI
Mehrdad Shademan, D.C.
- Chiropractor
- Oxnard, CA
National Provider Identifier
1225213101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27860
- Practice address
- 200 N Hayes Ave
Oxnard, CA 93030-5420 - Phone
- (805) 486-7300
- Fax
- (805) 486-2850
- NPI assigned
- Jan 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27860 | CA | Primary |
Addresses
Primary practice location
200 N Hayes Ave
Oxnard, CA 93030-5420
Mailing address
132 S a St Ste B
Oxnard, CA 93030-5690
Phone (805) 487-4043
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC27860 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoar-Gavin Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Oxnard, CA
- NPI 1184801474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1225213101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 S A ST STE B",
"city": "OXNARD",
"state": "CA",
"postal_code": "930305690",
"telephone_number": "805-487-4043",
"fax_number": "805-487-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N HAYES AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930305420",
"telephone_number": "805-486-7300",
"fax_number": "805-486-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHADEMAN",
"first_name": "MEHRDAD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-09",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.