Active NPI
Sylmar Physician Medical Group Inc
- Chiropractor
- Sylmar, CA
National Provider Identifier
1952419632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SYLMAR PHYSICIAN MEDICAL GROUP INC
- Practice address
- 12737 Glenoaks Blvd
#12
Sylmar, CA 91342 - Phone
- (818) 367-9068
- Fax
- (818) 367-9069
- NPI assigned
- Aug 25, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Houshang Danny Pavehzadeh Sr., DC
- Title
- Ceo
- Phone
- (818) 367-9068
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
12737 Glenoaks Blvd
#12
Sylmar, CA 91342
Mailing address
12737 Glenoaks Blvd
#12
Sylmar, CA 91342
Phone (818) 367-9068
National Provider Directory
National Provider DirectoryLocations
12737 Glenoaks Blvd
Ste 12
Sylmar, CA 91342
Phone (818) 239-9251
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Sylman, CA
- NPI 1114036100
-
- Acupuncturist
- Sylmar, CA
- NPI 1366540601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1952419632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12737 GLENOAKS BLVD",
"address_2": "#12",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-367-9068",
"fax_number": "818-367-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12737 GLENOAKS BLVD",
"address_2": "#12",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-367-9068",
"fax_number": "818-367-9069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYLMAR PHYSICIAN MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PAVEHZADEH",
"authorized_official_first_name": "HOUSHANG",
"authorized_official_middle_name": "DANNY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-367-9068",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
- Sylmar Dialysis LLC
- Sylmar Health and Rehabilitation Center Inc. (Sylmar Health and Rehabilitation Center)
- Sylmar Health Care Professionals Medical Group Inc.
- Sylmar Hospice Care, Inc
- Sylmar Medical Group Physician Assistant Inc
- Sylmar Treatment Center LLC.
- Moira Szilagyi, MD
- Christina Ta, PHARMD
- Vinhfield Xuan Ta, M.D.
- Jessica Kristine Tabrizizadeh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.