Individual provider Active NPI

Mike Galstyan, DC

  • Chiropractor
  • Encino, CA
National Provider Identifier
1013634229
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36451 Issued in CA
Practice address
17609 Ventura Blvd Ste 104
Encino, CA 91316-5148
Phone
(818) 291-3636
NPI assigned
Oct 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36451 CA Primary

Addresses

Primary practice location

17609 Ventura Blvd Ste 104
Encino, CA 91316-5148

Mailing address

221 E Lexington Dr Apt 208
Glendale, CA 91206-3504

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36451CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Body of Beverly Hills Wellness Inc CurrentSince Nov 12, 2023 Accepting new patients
Body Medical Wellness Inc Chiropractor CurrentSince Dec 17, 2023 Accepting new patients

Locations

17609 Ventura Blvd
Ste 104
Encino, CA 91316
Phone (818) 291-3636

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1013634229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E LEXINGTON DR APT 208",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD STE 104",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165148",
            "telephone_number": "818-291-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALSTYAN",
        "first_name": "MIKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.