KESHISHIAN CHIROPRACTIC INC. (NPI# 1750668919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750668919 |
| Entity Type | Organization |
| Organization Name | KESHISHIAN CHIROPRACTIC INC. |
| Practice Address |
5887 Kanan Rd Agoura Hills CA 91301-1651 |
| Practice Telephone | 8189914685 |
| Practice Fax Number | 8189912603 |
| Mailing Telephone | 8189914685 |
| Mailing Fax Number | 8189912603 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |
| Authorized Official Name | DR. VAHAGN JACK KESHISHYAN (PRESIDENT) |
| Authorized Official Telephone | 8189914685 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC-24441 | CA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | DC-25153 | CA | Chiropractic Providers |
| Street Address |
5887 KANAN RD |
| City | AGOURA HILLS |
| State | CA |
| Zip Code | 91301-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790763902 | George W Harris | Chiropractor | 5887 Kanan Rd, Agoura Hills, CA 91301-1651 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126823 | Krista Marie Windisch | Technician | 5836 Stonecrest Drive, Agoura, CA 91301 | 2019-10-22 |
| 1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
| 1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
| 1922484054 | Mahyar Okhovat, M.d. Inc | Psychiatry & Neurology | 2925 Canwood St, 109, Agoural Hills, CA 91301 | 2015-07-30 |
| 1982083929 | Alfred Charles Deciutiis Jr. | Internal Medicine | 32062 1/2 Lobo Canyon, Agoura, CA 91301 | 2015-05-22 |
| 1821401787 | Brandie Boghosian | Psychologist | 30200 Agoura Rd Ste 190, Agoura, CA 91301 | 2014-06-09 |
| 1114339041 | Unique Care Los Angeles Hospice, Inc. | Hospice Care, Community Based | 27001 Agoura Rd #110, Calabasas, CA 91301 | 2014-05-27 |
| 1588905574 | Irit Almog | Marriage & Family Therapist | 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 | 2013-03-15 |
| 1902152507 | Bethany Vaudrey | Psychologist | 28328 Agoura Rd Ste 102, Agoura Hills, CA 91301 | 2012-08-01 |
| 1508142472 | Jill Torres | Psychologist | 28729 Roadside Dr Ste 151, Agoura Hills, CA 91301 | 2011-10-24 |
| Find all providers in zip 91301 | ||||
| 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 |
|---|---|---|---|---|
| 1720602063 | Dianne Lalena Sandberg | Chiropractor | 30423 Canwood St Ste 205, Agoura Hills, CA 91301-4366 | 2020-06-02 |
| 1710409644 | James Calbraith Perry | Chiropractor | 30200 Agoura Rd Ste 130, Agoura Hills, CA 91301-5425 | 2017-07-12 |
| 1508099763 | Risa Potters | Chiropractor | 30473 Mulholland Hwy Spc 213, Agoura Hills, CA 91301-6226 | 2009-09-03 |
| 1679740856 | Paul Gasper | Chiropractor | 29229 Canwood St, Suite 205, Agoura Hills, CA 91301-1561 | 2008-05-15 |
| 1528133238 | Kelly D Johnson | Chiropractor | 30313 Canwood St, #33, Agoura Hills, CA 91301-4326 | 2006-11-21 |
| 1316045057 | Miriam Esther Vendelbosch | Chiropractor | 5308 Derry Ave, Suite K, Agoura Hills, CA 91301 | 2006-09-20 |
| 1821105552 | Kirby Van Johnson | Chiropractor | 5050 Kanan Rd, Suite B, Agoura Hills, CA 91301-2516 | 2006-08-25 |
| 1790763902 | George W Harris | Chiropractor | 5887 Kanan Rd, Agoura Hills, CA 91301-1651 | 2006-01-06 |
| 1598760621 | Michael S Shore | Chiropractor | 29525 Canwood St, Ste 204, Agoura Hills, CA 91301-4231 | 2005-06-15 |
| 1396181574 | Amanda Coddington | Chiropractor | 28720 Roadside Dr, Ste 335, Agoura Hills, CA 91301-3464 | 2013-05-15 |
| Find all providers in AGOURA HILLS | ||||
| City | AGOURA HILLS |
| Zip Code | 91301 |
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| 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.