NPIMap

Organization Active NPI

Khodabakhshian Chiropractic Inc

Doing business as Omega Solutions in Rehabilition

  • Chiropractor
  • Thousand Oaks, CA
National Provider Identifier
1366521106
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22785 Issued in CA
Legal business name
KHODABAKHSHIAN CHIROPRACTIC INC
Doing business as
Omega Solutions in Rehabilition
Practice address
325 E Rolling Oaks Dr Ste 250
Thousand Oaks, CA 91361
Phone
(805) 230-2673
Fax
(805) 230-2134
NPI assigned
Nov 3, 2006
Last updated
Sep 7, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
OMEGA SOLUTIONS IN REHABILITIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Dr. Sevak E Khodabakhshian, DCNPI 1043398589
Title
Owner President
Phone
(805) 230-2673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22785 CA Primary
Rehabilitation Chiropractor 111NR0400X DC22785 CA

Addresses

Primary practice location

325 E Rolling Oaks Dr Ste 250
Thousand Oaks, CA 91361

Mailing address

325 E Rolling Oaks Dr Ste 250
Thousand Oaks, CA 91361
Phone (805) 230-2673

Other names 1

  • Omega Solutions in Rehabilition Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071130000639 CA Part B Supplier - Clinic/Group Practice 5294824082 Receives reassigned benefits from 7 practitioners
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory
Part of
Khodabakhshian Chiropractic Inc

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1366521106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E ROLLING OAKS DR STE 250",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-230-2673",
            "fax_number": "805-230-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E ROLLING OAKS DR STE 250",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-230-2673",
            "fax_number": "805-230-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHODABAKHSHIAN CHIROPRACTIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMEGA SOLUTIONS IN REHABILITION",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "KHODABAKHSHIAN",
        "authorized_official_first_name": "SEVAK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER   PRESIDENT",
        "authorized_official_telephone_number": "805-230-2673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22785",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC22785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omega Solutions in Rehabilition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.