Individual provider Active NPI

Omid Mahgerefteh, D.C.

  • Chiropractor
  • Palmdale, CA
National Provider Identifier
1932212966
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28396 Issued in CA
Practice address
1220 E Avenue S
Suite C
Palmdale, CA 93550-6196
Phone
(661) 267-6876
Fax
(661) 267-0438
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 DC28396 CA Primary

Addresses

Primary practice location

1220 E Avenue S
Suite C
Palmdale, CA 93550-6196

Mailing address

1220 E Avenue S
Suite C
Palmdale, CA 93550-6196
Phone (661) 267-6876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425001016 CA Practitioner - Chiropractic 4789631003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Pain Management Medical CorporationGroup PAC ID 1759369572, 10 clinicians

Practice addresses (Care Compare)

819 Auto Ctr Dr
Palmdale, CA 93551-4599
Phone (661) 267-6876

Merit-based Incentive Payment System (MIPS)

Final score
83.18 of 100Reported as group
Quality
54.44
Improvement activities
40
Cost
76.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28396CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Pain Management Medical Corporation CurrentSince May 1, 2005 Accepting new patients
Universal Pain Management Medical Corp CurrentSince May 1, 2005 Accepting new patients
Joint Effort Medical Wellness Past Accepting new patients

Locations

16179 Siskiyou Rd
Apple Valley, CA 92307
Phone (360) 861-6199

1220 E Avenue S
Ste C
Palmdale, CA 93550
Phone (661) 267-6876

819 Auto Center Dr
Palmdale, CA 93551
Phone (661) 267-6876

5000 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 580-2285

28212 Kelly Johnson Pkwy
Ste 155
Valencia, CA 91355
Phone (661) 367-9788

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932212966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E AVENUE S",
            "address_2": "SUITE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935506196",
            "telephone_number": "661-267-6876",
            "fax_number": "661-267-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E AVENUE S",
            "address_2": "SUITE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935506196",
            "telephone_number": "661-267-6876",
            "fax_number": "661-267-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHGEREFTEH",
        "first_name": "OMID",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, 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.
  • 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.