Organization Active NPI

California Chiropractic, Inc

  • Chiropractor
  • Chatsworth, CA
National Provider Identifier
1629657051
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CALIFORNIA CHIROPRACTIC, INC
Practice address
21049 Devonshire St Ste 102
Chatsworth, CA 91311-2375
Phone
(818) 335-1537
Fax
(818) 550-6694
NPI assigned
Apr 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Dr. Omer Sahan Boysan, DCNPI 1093089138
Title
Owner
Phone
(818) 335-1537

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

21049 Devonshire St Ste 102
Chatsworth, CA 91311-2375

Mailing address

21049 Devonshire St Ste 102
Chatsworth, CA 91311-2375
Phone (818) 335-1537

Other identifiers 2

IdentifierTypeStateIssuer
12355706OtherCACAQH
OB1140055OtherCAASHLINK ID

National Provider Directory

National Provider Directory

Locations

21049 Devonshire St
Ste 102
Chatsworth, CA 91311
Phone (818) 335-1537

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": "1617494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1629657051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21049 DEVONSHIRE ST STE 102",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112375",
            "telephone_number": "818-335-1537",
            "fax_number": "818-550-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21049 DEVONSHIRE ST STE 102",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112375",
            "telephone_number": "818-335-1537",
            "fax_number": "818-550-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-04",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "BOYSAN",
        "authorized_official_first_name": "OMER",
        "authorized_official_middle_name": "SAHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-335-1537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12355706",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHLINK ID",
            "identifier": "OB1140055",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.