Individual provider Active NPI

Alireza Mirshojae, DC

  • Chiropractor
  • Woodland Hills, CA
National Provider Identifier
1982764569
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22086 Issued in CA
Practice address
21731 Ventura Blvd Ste 215
Woodland Hills, CA 91364-5116
Phone
(818) 674-0326
Fax
(818) 510-0182
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22086 CA Primary

Addresses

Primary practice location

21731 Ventura Blvd Ste 215
Woodland Hills, CA 91364-5116

Mailing address

21731 Ventura Blvd Ste 215
Woodland Hills, CA 91364-5116
Phone (818) 674-0326

Other identifiers 1

IdentifierTypeStateIssuer
DC22086OtherCALICENCE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617002939 CA Practitioner - Chiropractic 5294046207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21731 Ventura Blvd
Suite 215
Woodland Hills, CA 91364-5116
Phone (818) 674-0327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC22086CAMDChiropractor
22086CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mirshojae Chiropractic, Inc Past Accepting new patients
Woodland Hills Medical Clinic II Inc. PastSince Jan 16, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1982764569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21731 VENTURA BLVD STE 215",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645116",
            "telephone_number": "818-674-0326",
            "fax_number": "818-510-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21731 VENTURA BLVD STE 215",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645116",
            "telephone_number": "818-674-0326",
            "fax_number": "818-510-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRSHOJAE",
        "first_name": "ALIREZA",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "DC22086",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.