Organization Active NPI

Nosrat Ghodousi Chiropractic Inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1578726089
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21864 Issued in CA
Legal business name
NOSRAT GHODOUSI CHIROPRACTIC INC
Practice address
8615 W Pico Blvd
Los Angeles, CA 90035-2301
Phone
(818) 968-0763
Fax
(310) 289-8960
NPI assigned
Jul 3, 2008
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Nosrat Ghodousi, D.C.
Title
President
Phone
(818) 968-0763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC21864 CA Primary

Addresses

Primary practice location

8615 W Pico Blvd
Los Angeles, CA 90035-2301

Mailing address

PO Box 17087
Encino, CA 91416-7087
Phone (818) 968-0763

National Provider Directory

National Provider Directory

Locations

8615 W Pico Blvd
Los Angeles, CA 90035
Phone (310) 289-1970

Practitioners & affiliated clinicians

Practitioners 1

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": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1578726089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17087",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914167087",
            "telephone_number": "818-968-0763",
            "fax_number": "310-289-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352301",
            "telephone_number": "818-968-0763",
            "fax_number": "310-289-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSRAT GHODOUSI CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "GHODOUSI",
        "authorized_official_first_name": "NOSRAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-968-0763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.