Active NPI
Mehdi Khademi, D.C.
- Chiropractor
- Azusa, CA
National Provider Identifier
1992039713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21020
- Practice address
- 453 E Arrow Hwy
A
Azusa, CA 91702-5612 - Phone
- (626) 859-6460
- Fax
- (626) 859-6463
- NPI assigned
- Sep 25, 2009
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 21020 | CA | Primary |
Addresses
Primary practice location
453 E Arrow Hwy
A
Azusa, CA 91702-5612
Mailing address
453 E Arrow Hwy
A
Azusa, CA 91702-5612
Phone (626) 859-6460
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1992039713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 E ARROW HWY",
"address_2": "A",
"city": "AZUSA",
"state": "CA",
"postal_code": "917025612",
"telephone_number": "626-859-6460",
"fax_number": "626-859-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 E ARROW HWY",
"address_2": "A",
"city": "AZUSA",
"state": "CA",
"postal_code": "917025612",
"telephone_number": "626-859-6460",
"fax_number": "626-859-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHADEMI",
"first_name": "MEHDI",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-25",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Azusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.