Active NPI
Ashkan Khodabakhsh, D.C
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1619118155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31020
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31020 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winer Chiropractic, a Professional Corporation | Chiropractor | Past | 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.
-
- Chiropractor
- Canoga Park, CA
- NPI 1558749978
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.