Shahram Ardalan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC23493 Issued in CA

Practice address

17000 Ventura Blvd Ste 103
Encino, CA 91316-4187

Phone

(818) 995-4488

Fax

(818) 995-3140

NPI assigned

Mar 8, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ardalan Chiropractic Corporation

  • Chiropractor
  • Encino, CA
  • NPI 1255361952
  NPD (past) Authorized official
• S2 Physical Therapy & Rehab

  • Physical Therapist
  • Encino, CA
  • NPI 1184512600
  NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1881725901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18828",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914168828",
            "telephone_number": "818-995-4488",
            "fax_number": "818-995-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 VENTURA BLVD STE 103",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164187",
            "telephone_number": "818-995-4488",
            "fax_number": "818-995-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDALAN",
        "first_name": "SHAHRAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arash Nourparvar M D Inc
• Faith Archibald, P.T.
• Noel Carnella Archie
• Ardalan Chiropractic Corporation
• Foroozan Ardalan, L.AC.
• Brian Jonathan Ardebili, PHARMD
• Juaquin Arellano
• Ikechukwu Arene, M.D.
• Rosa Arevalo
• Michelle Arguelles, MA. OTR/L

• Chiropractor in Encino, CA
• Providers in Encino, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.