Individual provider Active NPI

Rabeah Shakhs Emampour, D.C.

  • Chiropractor
  • Santa Clara, CA
National Provider Identifier
1912257908
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32705 Issued in CA
Practice address
1221 Lafayette St
Santa Clara, CA 95050-4849
Phone
(408) 985-8118
Fax
(408) 985-8126
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10314 FL
Chiropractor 111N00000X 32705 CA Primary

Addresses

Primary practice location

1221 Lafayette St
Santa Clara, CA 95050-4849

Mailing address

1221 Lafayette St
Santa Clara, CA 95050-4849
Phone (408) 985-8118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161114002453 CA Practitioner - Chiropractic 5395024343 Practice locations: Santa Clara, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1221 Lafayette St
Santa Clara, CA 95050-4849
Phone (408) 985-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10314FLMDChiropractor
32705CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Family Chiropractic a Bravo Inc. Chiropractor CurrentSince Oct 14, 2022 Accepting new patients
David Hoewisch, DC Chiropractic Professional Corporation Chiropractor CurrentSince Jan 10, 2021 Accepting new patients

Locations

100 Oconnor Dr
Ste 25
San Jose, CA 95128
Phone (408) 271-2800

1221 Lafayette St
Santa Clara, CA 95050
Phone (408) 622-0878

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1912257908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 LAFAYETTE ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504849",
            "telephone_number": "408-985-8118",
            "fax_number": "408-985-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 LAFAYETTE ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504849",
            "telephone_number": "408-985-8118",
            "fax_number": "408-985-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMAMPOUR",
        "first_name": "RABEAH",
        "middle_name": "SHAKHS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10314",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.