Individual provider Active NPI

Shiva Drakhshani, D.C.

  • Chiropractor
  • Van Nuys, CA
National Provider Identifier
1790869980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23513 Issued in CA
Practice address
14328 Victory Blvd Ste G
Van Nuys, CA 91401-6505
Phone
(818) 902-2122
Fax
(818) 902-2151
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23513 CA Primary

Addresses

Primary practice location

14328 Victory Blvd Ste G
Van Nuys, CA 91401-6505

Mailing address

PO Box 251
Woodland Hills, CA 91365-0251
Phone (818) 902-2122

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC23513CAMDChiropractor
23513CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790869980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913650251",
            "telephone_number": "818-902-2122",
            "fax_number": "818-902-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14328 VICTORY BLVD STE G",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016505",
            "telephone_number": "818-902-2122",
            "fax_number": "818-902-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKHSHANI",
        "first_name": "SHIVA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.