Active NPI
Mani Shokoufandeh, DC
- Chiropractor
- West Hills, CA
National Provider Identifier
1235464819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31359
- Practice address
- 22110 Roscoe Blvd Ste 304
West Hills, CA 91304-3876 - Phone
- (310) 651-0025
- NPI assigned
- Oct 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 31359 | CA | Primary |
Addresses
Primary practice location
22110 Roscoe Blvd Ste 304
West Hills, CA 91304-3876
Mailing address
22110 Roscoe Blvd Ste 304
West Hills, CA 91304-3876
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31359 | CA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1235464819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22110 ROSCOE BLVD STE 304",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913043876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22110 ROSCOE BLVD STE 304",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913043876",
"telephone_number": "310-651-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOKOUFANDEH",
"first_name": "MANI",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.