Active NPI
Sylmar Health Care Professionals Medical Group Inc.
- Chiropractor
- Sylmar, CA
National Provider Identifier
1386900074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29084
- Legal business name
- SYLMAR HEALTH CARE PROFESSIONALS MEDICAL GROUP INC.
- Practice address
- 12737 Glenoaks Blvd
Suite 12a
Sylmar, CA 91342 - Phone
- (818) 367-9068
- Fax
- (818) 367-9069
- NPI assigned
- Apr 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Houshang Danny Pavehzadeh, D.C.
- Title
- Chiropractor
- Phone
- (818) 367-9068
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PT7940 | CA | |
| Chiropractor | 111N00000X | DC29084 | CA | Primary |
| Reflexologist | 173C00000X | AC11667 | CA |
Addresses
Primary practice location
12737 Glenoaks Blvd
Suite 12a
Sylmar, CA 91342
Mailing address
12737 Glenoaks Blvd
Suite 12a
Sylmar, CA 91342
Phone (818) 367-9068
National Provider Directory
National Provider DirectoryLocations
12737 Glenoaks Blvd
Ste 12A
Sylmar, CA 91342
Phone (818) 367-9068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333670400000",
"number": "1386900074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12737 GLENOAKS BLVD",
"address_2": "SUITE 12A",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-367-9068",
"fax_number": "818-367-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12737 GLENOAKS BLVD",
"address_2": "SUITE 12A",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-367-9068",
"fax_number": "818-367-9069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYLMAR HEALTH CARE PROFESSIONALS MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-06",
"last_updated": "2012-04-06",
"status": "A",
"authorized_official_last_name": "PAVEHZADEH",
"authorized_official_first_name": "HOUSHANG",
"authorized_official_middle_name": "DANNY",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "818-367-9068",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "PT7940",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29084",
"primary": true
},
{
"code": "173C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Reflexologist",
"state": "CA",
"license": "AC11667",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.