Individual provider Active NPI

Shayan Richard, D.C.

  • Chiropractor
  • Sherman Oaks, CA
National Provider Identifier
1649148214
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37451 Issued in CA
Practice address
4835 Van Nuys Blvd Ste 105
Sherman Oaks, CA 91403-2132
Phone
(818) 786-5985
NPI assigned
Oct 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC37451 CA Primary

Addresses

Primary practice location

4835 Van Nuys Blvd Ste 105
Sherman Oaks, CA 91403-2132

Mailing address

4828 Excelente Dr
Woodland Hills, CA 91364-4009
Phone (310) 880-0346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201002798 CA Practitioner - Chiropractic 7113410929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sherman Oaks Integrated Medical Group, Inc.Group PAC ID 8729368659, 5 clinicians

Practice addresses (Care Compare)

4835 Van Nuys Blvd
Suite 105
Sherman Oaks, CA 91403-2132
Phone (818) 786-5985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC37451CAMDChiropractor
37451CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Oaks Integrated Medical Group, Inc. CurrentSince Nov 17, 2025 Accepting new patients

Locations

4835 Van Nuys Blvd
Ste 105
Sherman Oaks, CA 91403
Phone (818) 786-5985

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1649148214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 EXCELENTE DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644009",
            "telephone_number": "310-880-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD STE 105",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032132",
            "telephone_number": "818-786-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "SHAYAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2025; 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.