AGOURA HILLS CHIROPRACTIC CLINIC
NPI 1073745675
Chiropractor in Agoura Hills, CA
NPI Status: Active since August 14, 2009
Contact Information
30313 CANWOOD ST
#33
AGOURA HILLS, CA
ZIP 91301
Phone: (818) 991-4900
Fax: (818) 991-4509
- Organization
- Chiropractor
- CLIA Number: 05D2182741
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 04-25-2026
About AGOURA HILLS CHIROPRACTIC CLINIC
This page provides the complete NPI Profile along with additional information for Agoura Hills Chiropractic Clinic, a provider established in Agoura Hills, California operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1073745675 assigned on August 2009. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kelly Dwain Johnson D.c. (President)
- NPI
- 1073745675
- Provider Name
- AGOURA HILLS CHIROPRACTIC CLINIC
- Entity Type
- Organization
- Location Address
- 30313 CANWOOD ST #33 AGOURA HILLS, CA 91301
- Location Phone
- (818) 991-4900
- Location Fax
- (818) 991-4509
- Mailing Address
- 30313 CANWOOD ST #33 AGOURA HILLS, CA 91301
- Mailing Phone
- (818) 991-4900
- Mailing Fax
- (818) 991-4509
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-14-2009
- Last Update Date
- 08-14-2009
- Code Navigator
A chiropractor like Agoura Hills Chiropractic Clinic helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2182741
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- April 26, 2024
- Certificate Expiration Date
- April 25, 2026
- Laboratory Director
- ADEL F. JABOUR MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Agoura Hills Chiropractic Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073745675, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073745675, enumerated as an "organization" on August 14, 2009.
The provider is located at 30313 CANWOOD ST #33 AGOURA HILLS, CA 91301 and the phone number is (818) 991-4900.
Chiropractor with taxonomy code 111N00000X.
