Active NPI
Shadi Goleh, DC
- Chiropractor
- Tarzana, CA
National Provider Identifier
1992863245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29124
- Practice address
- 19100 Ventura Blvd
#10
Tarzana, CA 91356-3239 - Phone
- (818) 343-0303
- Fax
- (818) 343-0300
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- 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 | DC29124 | CA | Primary |
Addresses
Primary practice location
19100 Ventura Blvd
#10
Tarzana, CA 91356-3239
Mailing address
PO Box 573332
Tarzana, CA 91357
Phone (818) 343-0303
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29124 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1992863245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 573332",
"city": "TARZANA",
"state": "CA",
"postal_code": "91357",
"telephone_number": "818-343-0303",
"fax_number": "818-999-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19100 VENTURA BLVD",
"address_2": "#10",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563239",
"telephone_number": "818-343-0303",
"fax_number": "818-343-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLEH",
"first_name": "SHADI",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29124",
"primary": true
}
],
"identifiers": [],
"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 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.