Organization Active NPI

Khodabakhsh Chiropractic, Inc.

  • Chiropractor
  • Danville, CA
National Provider Identifier
1497194542
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32028 Issued in CA
Legal business name
KHODABAKHSH CHIROPRACTIC, INC.
Practice address
801 San Ramon Valley Blvd Ste G
Danville, CA 94526-4027
Phone
(925) 718-5314
Fax
(925) 208-1734
NPI assigned
Jun 21, 2013
Last updated
Nov 8, 2024By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Dr. Mahsa Khodabakhsh, D.C.NPI 1457692113
Title
Owner/President
Phone
(925) 786-1340

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
Chiropractor 111N00000X DC32028 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
O20140220000928 CA Part B Supplier - Clinic/Group Practice 2769612605 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, CA

National Provider Directory

National Provider Directory

Locations

391 Diablo Rd
Ste B
Danville, CA 94526
Phone (925) 263-6110

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

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1497194542",
    "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",
            "fax_number": "949-598-9990"
        },
        {
            "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",
            "fax_number": "925-208-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHODABAKHSH CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "KHODABAKHSH",
        "authorized_official_first_name": "MAHSA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "925-786-1340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32028",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.