DR. KHODAYAR KHATIBLOU
NPI 1598315244
Chiropractor in Costa Mesa, CA

Active since September 15, 2019Accepts Medicare Assignment
2900 BRISTOL ST STE J103, COSTA MESA, CA 92626(949) 742-2087 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 7, 2022, Feb 7, 2022, Sep 15, 2019 (3 updates tracked since 2019).

About Dr. Khodayar Khatiblou NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KHODAYAR KHATIBLOU (NPI 1598315244) is an individual chiropractor in Costa Mesa, California, licensed in California (34573) and active in the NPI registry since September 2019. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1598315244
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KHODAYAR KHATIBLOU
Location Address2900 BRISTOL ST STE J103Costa Mesa, CA 92626-7918
Mailing Address2900 Bristol St Ste J103Costa Mesa, CA 92626-7918 · (949) 742-2087
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 15, 2019
Last NPPES UpdateApril 7, 20223 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1598315244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 34573
Definition
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.
2900 BRISTOL ST STE J103, Costa Mesa, CA 92626

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Khodayar Khatiblou is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355725250
PECOS Enrollment IDI20220825004002

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2900 BRISTOL ST STE J103
COSTA MESA, CA 92626
Chiropractor
2900 BRISTOL ST STE J103
COSTA MESA, CA 92626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khodayar Khatiblou's NPI number?

The NPI number for Khodayar Khatiblou is 1598315244. It was assigned to this individual provider in the NPPES registry on September 15, 2019.

Where is Khodayar Khatiblou located?

Khodayar Khatiblou practices at 2900 Bristol St Ste J103, Costa Mesa, CA 92626. The listed phone number is (949) 742-2087.

What is Khodayar Khatiblou's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Khodayar Khatiblou enrolled in Medicare?

Yes. Khodayar Khatiblou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Khodayar Khatiblou accept?

Health plans from Providence Health Plan list Khodayar Khatiblou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Khodayar Khatiblou was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.