Active NPI
Roya Rahimzadeh Moghadam, D.C
- Chiropractor
- Reseda, CA
National Provider Identifier
1407117195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32316
- Practice address
- 19231 Victory Blvd
Suite 356
Reseda, CA 91335-6308 - Phone
- (310) 802-9995
- Fax
- (818) 780-1744
- NPI assigned
- May 30, 2012
- 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 | 32316 | CA | Primary |
Addresses
Primary practice location
19231 Victory Blvd
Suite 356
Reseda, CA 91335-6308
Mailing address
PO Box 491694
Los Angeles, CA 90049-8694
Phone (310) 802-9995
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32316 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1407117195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 491694",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900498694",
"telephone_number": "310-802-9995",
"fax_number": "818-780-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19231 VICTORY BLVD",
"address_2": "SUITE 356",
"city": "RESEDA",
"state": "CA",
"postal_code": "913356308",
"telephone_number": "310-802-9995",
"fax_number": "818-780-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHIMZADEH MOGHADAM",
"first_name": "ROYA",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.