Active NPI
Jamshied Bakshodeh, DC
- Rehabilitation Chiropractor
- Costa Mesa, CA
National Provider Identifier
1972748176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 30332
- Practice address
- 1503 S Coast Dr Ste 303
Costa Mesa, CA 92626-1528 - Phone
- (714) 438-3900
- NPI assigned
- Dec 3, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 30332 | CA | Primary |
Addresses
Primary practice location
1503 S Coast Dr Ste 303
Costa Mesa, CA 92626-1528
Mailing address
1503 S Coast Dr Ste 303
Costa Mesa, CA 92626-1528
Phone (714) 438-3900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001246 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1972748176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 S COAST DR STE 303",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926261528",
"telephone_number": "714-438-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 S COAST DR STE 303",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926261528",
"telephone_number": "714-438-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKSHODEH",
"first_name": "JAMSHIED",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-03",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "30332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.