Organization Active NPI

Sylmar Health Care Professionals Medical Group Inc.

  • Chiropractor
  • Sylmar, CA
National Provider Identifier
1386900074
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29084 Issued in CA
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

Updated by the provider on Apr 6, 2012

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PT7940 CA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC29084 CA Primary
ReflexologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.