Individual provider Active NPI

Tanin Khademi, DC

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1942736301
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC33832 Issued in CA
Practice address
3250 Wilshire Blvd Ste 1501
Los Angeles, CA 90010-1608
Phone
(213) 291-0505
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC33832 CA Primary

Addresses

Primary practice location

3250 Wilshire Blvd Ste 1501
Los Angeles, CA 90010-1608

Mailing address

3250 Wilshire Blvd Ste 1501
Los Angeles, CA 90010-1608
Phone (213) 291-0505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029001842 CA Practitioner - Chiropractic 9335638402 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3250 Wilshire Blvd
Suite 1501
Los Angeles, CA 90010-1608
Phone (213) 291-0505

4763 Abargo St
Woodland Hills, CA 91364-4518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC33832CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Khademi Chiropractic Professional Corporation Chiropractor CurrentSince Jan 10, 2021 Accepting new patients
Los Angeles United Spine Care Chiropractor CurrentSince Aug 25, 2025 Accepting new patients

Locations

3250 Wilshire Blvd
Ste 1501
Los Angeles, CA 90010
Phone (213) 291-0505

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1942736301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 WILSHIRE BLVD STE 1501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101608",
            "telephone_number": "213-291-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WILSHIRE BLVD STE 1501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101608",
            "telephone_number": "213-291-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADEMI",
        "first_name": "TANIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.