Organization Active NPI

Mirshojae Chiropractic Inc.

  • Chiropractor
  • Reseda, CA
National Provider Identifier
1831504273
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22086 Issued in CA
Legal business name
MIRSHOJAE CHIROPRACTIC INC.
Practice address
18318 Sherman Way
Reseda, CA 91335-4424
Phone
(818) 757-7246
Fax
(818) 757-3024
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Alireza Mirshojae, D.C.NPI 1982764569
Title
Chiropractor
Phone
(818) 757-7246

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 DC22086 CA Primary

Addresses

Primary practice location

18318 Sherman Way
Reseda, CA 91335-4424

Mailing address

18318 Sherman Way
Reseda, CA 91335-4424
Phone (818) 757-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150617002085 CA Part B Supplier - Clinic/Group Practice 4385955392 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory
Tax ID family
Mirshojae Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21731 Ventura Blvd
Ste 215
Woodland Hills, CA 91364
Phone (818) 674-0326

Practitioners & affiliated clinicians

Practitioners 3

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": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1831504273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18318 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354424",
            "telephone_number": "818-757-7246",
            "fax_number": "818-757-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18318 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354424",
            "telephone_number": "818-757-7246",
            "fax_number": "818-757-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRSHOJAE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "MIRSHOJAE",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "818-757-7246",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.