Active NPI
Sayel S. Fakhoury, D.C.
- Chiropractor
- Tarzana, CA
National Provider Identifier
1972585297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 20968
- Practice address
- 18399 Ventura Blvd
Suite 241
Tarzana, CA 91356-4233 - Phone
- (818) 708-0477
- Fax
- (818) 708-7902
- NPI assigned
- Nov 14, 2005
- Last updated
- Jan 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 20968 | CA | Primary |
| Sports Physician Chiropractor | 111NS0005X | 20968 | CA | |
| Occupational Health Chiropractor | 111NX0100X | 20968 | CA |
Addresses
Primary practice location
18399 Ventura Blvd
Suite 241
Tarzana, CA 91356-4233
Mailing address
18399 Ventura Blvd
Suite 241
Tarzana, CA 91356-4233
Phone (818) 708-0477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC20968 | Other | CA | CHIROPRATIC LICENSE |
| 952070 | Other | CA | QME LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Layton Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Tarzana, CA
- NPI 1134079551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1972585297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18399 VENTURA BLVD",
"address_2": "SUITE 241",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564233",
"telephone_number": "818-708-0477",
"fax_number": "818-708-7902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18399 VENTURA BLVD",
"address_2": "SUITE 241",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564233",
"telephone_number": "818-708-0477",
"fax_number": "818-708-7902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHOURY",
"first_name": "SAYEL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "20968",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "20968",
"primary": false
},
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "CA",
"license": "20968",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRATIC LICENSE",
"identifier": "DC20968",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QME LICENSE",
"identifier": "952070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.