ALFRED A DERAKHSHESH (NPI# 1336183110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336183110 |
| Entity Type | Individual |
| Full Name | ALFRED A DERAKHSHESH |
| Credential | D.C. |
| Practice Address |
1016 S Robertson Blvd Los Angeles CA 90035-1505 |
| Mailing Address |
1470 Rexford Dr #207 Los Angeles CA 90035-3145 |
| Practice Telephone | 3106529283 |
| Practice Fax Number | 3106529292 |
| Mailing Telephone | 3107220800 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC24112 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GDC000280 | 05 |
| Street Address |
1016 S ROBERTSON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90035-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750357182 | Kourosh Noormand | Anesthesiology | 1016 S Robertson Blvd, Los Angeles, CA 90035-1505 | 2006-02-25 |
| 1780924779 | Elina Adibi | Chiropractor | 1016 S Robertson Blvd, Los Angeles, CA 90035-1505 | 2013-02-27 |
| 1902191125 | Frontier Medical Group Inc. | Podiatrist | 1016 S Robertson Blvd, Los Angeles, CA 90035-1505 | 2011-06-15 |
| 1285847681 | Daniel Drake | Internal Medicine | 1016 S Robertson Blvd, Los Angeles, CA 90035-1505 | 2007-05-08 |
| 1659394633 | Daniel Radnia | General Practice | 1016 S Robertson Blvd, 101, Los Angeles, CA 90035-1505 | 2006-07-25 |
| 1598726531 | Shalom Pain Treatment Medical Center Inc | Anesthesiology | 1016 S Robertson Blvd, Los Angeles, CA 90035-1505 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
| 1962061945 | Alcott Center for Mental Health Services | Community/Behavioral Health | 1441-1443 S. Robertson Blvd., Los Angeles, CA 90035 | 2019-06-12 |
| 1124514773 | Bahareh Haykani | Physician Assistant | 1105 S La Peer Dr, Los Angeles, CA 90035 | 2018-07-06 |
| 1700303609 | Jisun Lee | Specialist/Technologist | 1080 S. La Cienega Blvd, #208, Los Angeles, CA 90035 | 2017-08-23 |
| 1407202393 | Elham Azarmiazam | Chiropractor | 1016 South Robertson Blvd., Los Angeles, CA 90035 | 2016-05-10 |
| 1548626369 | Esther Levy-bremer | Acupuncturist | 1411 S. Cardiff Ave., Ca 90035, Los Angeles, CA 90035 | 2016-01-08 |
| 1972992949 | Tali Shams | Pharmacist | 1108 South Lapeer Drive, Los Angeles, CA 90035 | 2015-01-14 |
| 1932598067 | Edwin Gromis | Orthopaedic Surgery | 1122 South Robertson Blvd., Los Angeles, CA 90035 | 2015-01-13 |
| 1437568250 | Edwin Gromis M.d. A Prof Corp | Orthopaedic Surgery | 1122 S. Robertson Blvd Suite 1, Los Angeles, CA 90035 | 2014-08-06 |
| 1073929725 | David Javdon | Dentist | 1125 S. Beverly Dr., Suite #400, Los Angeles, CA 90035 | 2014-07-02 |
| Find all providers in zip 90035 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181646 | Astkhik Bagdasaryan | Chiropractor | 5250 Santa Monica Blvd Ste 303, Los Angeles, CA 90029-1255 | 2020-10-13 |
| 1205433661 | Henry Rivera | Chiropractor | 11075 Santa Monica Blvd Ste 175, Los Angeles, CA 90025-7567 | 2020-10-07 |
| 1801417563 | Sangwook Lee | Chiropractor | 680 S Berendo St Apt 529, Los Angeles, CA 90005-2087 | 2020-05-04 |
| 1760003149 | Danielle Christine Johnston | Chiropractor | 1280 S Barrington Ave Apt 14, Los Angeles, CA 90025-1642 | 2020-04-27 |
| 1942820980 | Peter Yi | Chiropractor | 919 S Soto St Ste 5, Los Angeles, CA 90023-1303 | 2020-04-20 |
| 1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
| 1114552254 | Alkemy Acupuncture & Integrative Medicine, Inc. | Chiropractor | 700 W 9th St Apt 2418, Los Angeles, CA 90015-4545 | 2020-03-09 |
| 1205469764 | Tom Chung Optimum Chiropractic, Inc | Chiropractor | 3727 W 6th St Ste 616, Los Angeles, CA 90020-5111 | 2020-02-12 |
| 1639715352 | Jack Li, D.c., A Chiropractic Corporation | Chiropractor | 12340 Santa Monica Blvd Ste 129, Los Angeles, CA 90025-2584 | 2019-11-18 |
| 1740837384 | Annie Somi Lee | Chiropractor | 1458 S San Pedro St # L19, Los Angeles, CA 90015-3144 | 2019-08-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90035 |
Please comment or provide details below to improve the information on ALFRED A DERAKHSHESH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.