Reza Roshan Pajouh, DOCTOR OF CHIROPRACT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36852 Issued in CA

Practice address

4675 Stevens Creek Blvd Ste 121
Santa Clara, CA 95051-6763

Phone

(408) 394-0288

Fax

(408) 216-9030

NPI assigned

Feb 19, 2024

Last updated

Feb 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1760247837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 STEVENS CREEK BLVD STE 121",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516763",
            "telephone_number": "949-619-0287",
            "fax_number": "408-394-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 STEVENS CREEK BLVD STE 121",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516763",
            "telephone_number": "408-394-0288",
            "fax_number": "408-216-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSHAN PAJOUH",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikila W Rosales
• Victoria Laura Rose, LMFCT
• Gregory Allen Rosebrook, L,AC.
• Kerstin V Rosen, MD
• Linda Maj Rosenband, M.D.
• Maitreya Deva Rosiles, LCSW
• Carrie L Ross, F.N.P.
• Erin Ross
• Jaimese Ross
• Melissa Ross, MD

• Chiropractor in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.