Individual provider Active NPI

David R Sedghi, DC

  • Chiropractor
  • Livermore, CA
National Provider Identifier
1225698269
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34555 Issued in CA
Practice address
1150 Murrieta Blvd Ste 100
Livermore, CA 94550-4186
Phone
(925) 373-6363
NPI assigned
Jun 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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 34555 CA Primary

Addresses

Primary practice location

1150 Murrieta Blvd Ste 100
Livermore, CA 94550-4186

Mailing address

24015 Janssen CT
Hayward, CA 94541-6747
Phone (510) 470-1049

Other practice location 1

22316 Main St
Hayward, CA 94541-4007
Phone (510) 470-1049

Other practice location 2

6680 Bay Laurel Pl
Avila Beach, CA 93424-3504
Phone (510) 470-1049

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030000498 CA Practitioner - Chiropractic 2163842907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1503 Froom Ranch Way
San Luis Obispo, CA 93405-7211
Phone (805) 541-6966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sedghi Momentum Health Chiropractic Chiropractor CurrentSince Oct 8, 2020 Accepting new patients
Advanced Health Chiropractic PastSince Aug 23, 2020 Accepting new patients

Locations

1503 Froom Ranch Way
San Luis Obispo, CA 93405
Phone (805) 541-6966

Organizations & group practices 2

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1225698269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24015 JANSSEN CT",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945416747",
            "telephone_number": "510-470-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MURRIETA BLVD STE 100",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504186",
            "telephone_number": "925-373-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22316 Main St",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945414007",
            "country_code": "US",
            "telephone_number": "510-470-1049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6680 Bay Laurel Pl",
            "address_purpose": "LOCATION",
            "city": "Avila Beach",
            "state": "CA",
            "postal_code": "934243504",
            "country_code": "US",
            "telephone_number": "510-470-1049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDGHI",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.