Fardad Mogharabi, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

DC23324 Issued in CA

Practice address

4426 E Village Rd
Long Beach, CA 90808-1536

Phone

(562) 354-6900

Fax

(562) 354-6900

NPI assigned

Mar 30, 2007

Last updated

Mar 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fardad Mogharabi Chiropractic Service Inc.

  dba Lakewood Village Chiropractic

  • Chiropractor
  • Long Beach, CA
  • NPI 1003418062
  NPD (past) Authorized official
• Richter Medical Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seal Beach, CA
  • NPI 1275349581
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1952421281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 E VILLAGE RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081536",
            "telephone_number": "562-354-6900",
            "fax_number": "562-354-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 E VILLAGE RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081536",
            "telephone_number": "562-354-6900",
            "fax_number": "562-354-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHARABI",
        "first_name": "FARDAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC23324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern Dermatology, Inc.
• Priya Mody, MD
• Jacquelyn Moffitt
• Sara Mohasel Mofrad, D.D.S
• Soheil S Moghadam
• Jonathan Moh, OTR/L
• Mohamed Riyaz Zavahir
• Rusaly Mohammad, PTA
• Paulean Cassie Mohammed
• Wafa Abdelmagid Mohammed, MD

• Nutrition Chiropractor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Nutrition Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.