Individual provider Active NPI

Masoud Safaeian, DC

  • Chiropractor
  • Inglewood, CA
National Provider Identifier
1265468714
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27287 Issued in CA
Practice address
426 E Arbor Vitae St
Inglewood, CA 90301-3450
Phone
(310) 672-4110
Fax
(310) 672-0181
NPI assigned
Jun 25, 2006
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27287 CA Primary

Addresses

Primary practice location

426 E Arbor Vitae St
Inglewood, CA 90301-3450

Mailing address

426 E Arbor Vitae St
Inglewood, CA 90301-3450
Phone (310) 672-4110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117001171 CA Practitioner - Chiropractic 7911961073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

426 E Arbor Vitae
Inglewood, CA 90301-3450

426 E Arbor Vitae St
Inglewood, CA 90301-3450
Phone (310) 672-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC27287CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Legal Safaeian Chiropractic and Physical Therapy Group Inc Chiropractor CurrentSince Aug 29, 2011 Accepting new patients

Locations

426 E Arbor Vitae St
Inglewood, CA 90301
Phone (310) 671-0004

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, 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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1265468714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E ARBOR VITAE ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013450",
            "telephone_number": "310-672-4110",
            "fax_number": "310-672-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E ARBOR VITAE ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013450",
            "telephone_number": "310-672-4110",
            "fax_number": "310-672-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAEIAN",
        "first_name": "MASOUD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.