Individual provider Active NPI

Ashkan Khodabakhsh, D.C

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1619118155
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31020 Issued in CA
Practice address
6399 Wilshire Blvd Ste 501
Los Angeles, CA 90048-5708
Phone
(323) 651-0580
Fax
(323) 651-0587
NPI assigned
Mar 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31020 CA Primary

Addresses

Primary practice location

6399 Wilshire Blvd Ste 501
Los Angeles, CA 90048-5708

Mailing address

328 S Elm Dr Apt 3
Beverly Hills, CA 90212-4620
Phone (310) 994-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31020CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Winer Chiropractic, a Professional Corporation Chiropractor PastSince Jun 6, 2018 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1619118155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S ELM DR APT 3",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124620",
            "telephone_number": "310-994-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 WILSHIRE BLVD STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485708",
            "telephone_number": "323-651-0580",
            "fax_number": "323-651-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODABAKHSH",
        "first_name": "ASHKAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31020",
            "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 Nov 9, 2009; 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.