Individual provider Active NPI

Roksana Shokouh, DC

  • Independent Medical Examiner Chiropractor
  • Los Angeles, CA
National Provider Identifier
1962653808
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
DC 23983 Issued in CA
Practice address
231 W Vernon Ave Ste 102
Los Angeles, CA 90037-2778
Phone
(323) 233-0504
Fax
(323) 233-0593
NPI assigned
Oct 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X DC 23983 CA Primary

Addresses

Primary practice location

231 W Vernon Ave Ste 102
Los Angeles, CA 90037-2778

Mailing address

1530 N Poinsettia PL Apt 236
Los Angeles, CA 90046-7915
Phone (323) 233-0504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC 23983CAMDIndependent Medical Examiner Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1962653808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N POINSETTIA PL APT 236",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467915",
            "telephone_number": "323-233-0504",
            "fax_number": "323-233-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W VERNON AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372778",
            "telephone_number": "323-233-0504",
            "fax_number": "323-233-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKOUH",
        "first_name": "ROKSANA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC 23983",
            "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 Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.