Individual provider Active NPI

Mahsa Khodabakhsh, D.C.

  • Chiropractor
  • Danville, CA
National Provider Identifier
1457692113
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32028 Issued in CA
Practice address
801 San Ramon Valley Blvd Ste G
Danville, CA 94526-4027
Phone
(925) 718-5314
NPI assigned
Mar 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32028 CA Primary

Addresses

Primary practice location

801 San Ramon Valley Blvd Ste G
Danville, CA 94526-4027

Mailing address

801 San Ramon Valley Blvd Ste G
Danville, CA 94526-4027
Phone (925) 718-5314

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140220001021 CA Practitioner - Chiropractic 6204066145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

801 San Ramon Valley Blvd
Suite B
Danville, CA 94526-4027
Phone (925) 718-5314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Khodabakhsh Chiropractic, Inc. Chiropractor CurrentSince Sep 7, 2013 Accepting new patients

Locations

913 San Ramon Valley Blvd
Ste 180
Danville, CA 94526
Phone (925) 718-5314

801 San Ramon Valley Blvd
Ste G
Danville, CA 94526
Phone (925) 718-5314

811 San Ramon Valley Blvd
Ste 103
Danville, CA 94526
Phone (925) 786-1340

801 San Ramon Valley Blvd
Ste B
Danville, CA 94526
Phone (925) 718-5314

Organizations & group practices 1

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": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1457692113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SAN RAMON VALLEY BLVD STE G",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264027",
            "telephone_number": "925-718-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SAN RAMON VALLEY BLVD STE G",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264027",
            "telephone_number": "925-718-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODABAKHSH",
        "first_name": "MAHSA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.