Individual provider Active NPI

Pantea Nikaeen

  • Chiropractor
  • Encino, CA
National Provider Identifier
1558711929
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33562 Issued in CA
Practice address
18065 Ventura Blvd
Encino, CA 91316-3517
Phone
(818) 708-6163
NPI assigned
Jun 16, 2016
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33562 CA Primary

Addresses

Primary practice location

18065 Ventura Blvd
Encino, CA 91316-3517

Mailing address

17721 Burbank Blvd
Encino, CA 91316-1614

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713000698 CA Practitioner - Chiropractic 5092007930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Health and Beauty Center IncGroup PAC ID 8224376033, 3 clinicians

Practice addresses (Care Compare)

16661 Ventura Blvd
Suite 700
Encino, CA 91436-1992
Phone (818) 285-8446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Health & Beauty Center Inc Chiropractor CurrentSince Aug 14, 2018 Accepting new patients
Nikaeen Chiropractic P.C Chiropractor Current Accepting new patients

Locations

16661 Ventura Blvd
Ste 700
Encino, CA 91436
Phone (818) 285-8446

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1558711929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17721 BURBANK BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18065 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163517",
            "telephone_number": "818-708-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKAEEN",
        "first_name": "PANTEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.