Active NPI
Shohreh Rahbar, DC
- Chiropractor
- La Habra, CA
National Provider Identifier
1306689203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36917
- Practice address
- 1501 S Beach Blvd Apt L1116
La Habra, CA 90631-1187 - Phone
- (562) 458-0042
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- 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 | DC36917 | CA | Primary |
Addresses
Primary practice location
1501 S Beach Blvd Apt L1116
La Habra, CA 90631-1187
Mailing address
1501 S Beach Blvd Apt L1116
La Habra, CA 90631-1187
Phone (562) 458-0042
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 |
|---|---|---|---|
| DC36917 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1306689203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S BEACH BLVD APT L1116",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906311187",
"telephone_number": "562-458-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S BEACH BLVD APT L1116",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906311187",
"telephone_number": "562-458-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHBAR",
"first_name": "SHOHREH",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.