Individual provider Active NPI

Kimia Faghihi, D.C.

  • Chiropractor
  • Valley Village, CA
National Provider Identifier
1649676123
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33112 Issued in CA
Practice address
12626 Riverside Dr Ste 301
Valley Village, CA 91607-3473
Phone
(818) 452-9266
Fax
(707) 873-7835
NPI assigned
Nov 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33112 CA Primary

Addresses

Primary practice location

12626 Riverside Dr Ste 301
Valley Village, CA 91607-3473

Mailing address

3631 Oakfield Dr
Sherman Oaks, CA 91423-4429
Phone (818) 934-5173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804005614 CA Practitioner - Chiropractic 1850605833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Village Health Clinic PCGroup PAC ID 4880076215, 5 clinicians

Practice addresses (Care Compare)

12626 Riverside Dr
Suite 301
Valley Village, CA 91607-3473
Phone (818) 452-9266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33112CAMDAddiction (Substance Use Disorder) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Village Health Clinic PC CurrentSince May 6, 2024 Accepting new patients
Kimia Faghihi, D.C., a Chiropractic Corporation Chiropractor CurrentSince May 19, 2024 Accepting new patients

Locations

12626 Riverside Dr
Ste 301
Valley Vlg, CA 91607
Phone (818) 452-9266

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1649676123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 OAKFIELD DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234429",
            "telephone_number": "818-934-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 301",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073473",
            "telephone_number": "818-452-9266",
            "fax_number": "707-873-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGHIHI",
        "first_name": "KIMIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.