Individual provider Active NPI

Kayvon Nownejad, DC

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1972191146
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
21856 Issued in CA
Practice address
5862 Avalon Blvd
Los Angeles, CA 90003-1308
Phone
(323) 233-4343
Fax
(323) 233-1429
NPI assigned
Jan 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 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 21856 CA Primary

Addresses

Primary practice location

5862 Avalon Blvd
Los Angeles, CA 90003-1308

Mailing address

5862 Avalon Blvd
Los Angeles, CA 90003-1308
Phone (323) 233-4343

Other practice location 1

16020 S Western Ave Ste 104
Gardena, CA 90247-6141
Phone (310) 771-8200

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
21856CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1972191146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5862 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031308",
            "telephone_number": "323-233-4343",
            "fax_number": "323-233-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5862 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900031308",
            "telephone_number": "323-233-4343",
            "fax_number": "323-233-1429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16020 S Western Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902476141",
            "country_code": "US",
            "telephone_number": "310-771-8200",
            "fax_number": "310-771-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWNEJAD",
        "first_name": "KAYVON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21856",
            "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 4, 2021; 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.