Organization Active NPI

Forat Medical and Chiropractic Group Inc

  • Chiropractor
  • Van Nuys, CA
National Provider Identifier
1407241979
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21323 Issued in CA
Legal business name
FORAT MEDICAL AND CHIROPRACTIC GROUP INC
Practice address
6640 Van Nuys Blvd Ste 100
Van Nuys, CA 91405-4678
Phone
(888) 988-7647
Fax
(888) 932-2444
NPI assigned
Apr 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Shahrzad Forat, D.C.NPI 1265799522
Title
Owner
Phone
(818) 645-8174

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC21323 CA Primary

Addresses

Primary practice location

6640 Van Nuys Blvd Ste 100
Van Nuys, CA 91405-4678

Mailing address

14540 Victory Blvd Ste 101
Van Nuys, CA 91411-1697
Phone (888) 988-7647

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260430000714 CA Part B Supplier - Clinic/Group Practice 3476020132 Receives reassigned benefits from 1 practitioner
Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1407241979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 VICTORY BLVD STE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111697",
            "telephone_number": "888-988-7647",
            "fax_number": "888-932-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 VAN NUYS BLVD STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054678",
            "telephone_number": "888-988-7647",
            "fax_number": "888-932-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORAT MEDICAL AND CHIROPRACTIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "FORAT",
        "authorized_official_first_name": "SHAHRZAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-645-8174",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.