Individual provider Active NPI

Eric Mehernosh Dah, DC

  • Chiropractor
  • Stockton, CA
National Provider Identifier
1396709184
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28941 Issued in CA
Practice address
1212 West Robinhood Drive
Suite 1F
Stockton, CA 95207
Phone
(209) 474-8215
Fax
(209) 474-8953
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28941 CA Primary

Addresses

Primary practice location

1212 West Robinhood Drive
Suite 1F
Stockton, CA 95207

Mailing address

1212 West Robinhood Drive
Suite 1F
Stockton, CA 95207
Phone (209) 474-8215

Other identifiers 1

IdentifierTypeStateIssuer
5749OtherWAUPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041220001074 CA Practitioner - Chiropractic 4789642919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1212 W Robinhood Dr
Stockton, CA 95207-5505
Phone (209) 474-8215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28941CAMDClinical Psychologist
DC28941CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Antonio Soto Jr DC Chiropractic Professional Corporation Chiropractor CurrentSince Sep 15, 2003 Accepting new patients
Naju Dah DME Medical Corporation PastSince Aug 23, 2018 Accepting new patients

Locations

1212 W Robinhood Dr
Ste 1F
Stockton, CA 95207
Phone (209) 474-8215

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396709184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 WEST ROBINHOOD DRIVE",
            "address_2": "SUITE 1F",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95207",
            "telephone_number": "209-474-8215",
            "fax_number": "209-474-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 WEST ROBINHOOD DRIVE",
            "address_2": "SUITE 1F",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95207",
            "telephone_number": "209-474-8215",
            "fax_number": "209-474-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAH",
        "first_name": "ERIC",
        "middle_name": "MEHERNOSH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "5749",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.