Active NPI
Ivan Malinarich, DC
- Chiropractor
- Agoura Hills, CA
National Provider Identifier
1023762242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36264
- Practice address
- 28720 Roadside Dr Ste 282
Agoura Hills, CA 91301-3316 - Phone
- (818) 318-4122
- NPI assigned
- Feb 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC36264 | CA | Primary |
Addresses
Primary practice location
28720 Roadside Dr Ste 282
Agoura Hills, CA 91301-3316
Mailing address
4915 San Feliciano Dr
Woodland Hills, CA 91364
Phone (818) 318-4122
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC36264 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1023762242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 SAN FELICIANO DR",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "91364",
"telephone_number": "818-318-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28720 ROADSIDE DR STE 282",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913013316",
"telephone_number": "818-318-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALINARICH",
"first_name": "IVAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-07",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Agoura Hills, CA
- Malibu California Model Drug Treatment Center, Inc
- Malibu California Model Drug Treatment Center,Inc
- Malibu Home Health Inc
- Malibu Pathology
- Malibu Physicians Billing Group Inc.
- Leyla Mallak, RN, MSN, PMHNP-BC
- Lori Manduke, RN, NP, IBCLC
- Anne Mangan
- Deena R Manion, PSY.D, LCSW
- Laurie Ellen Mann, OMD LAC MH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.