Individual provider Active NPI

Eliza Keshishyan, MS

  • Behavior Analyst
  • La Canada, CA
National Provider Identifier
1043852635
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4515 Ocean View Blvd Ste 320
La Canada, CA 91011-1438
Phone
(818) 937-0882
Fax
(818) 937-0883
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X CA Primary

Addresses

Primary practice location

4515 Ocean View Blvd Ste 320
La Canada, CA 91011-1438

Mailing address

4515 Ocean View Blvd Ste 320
La Canada, CA 91011-1438
Phone (818) 937-0882

Other practice location 1

17037 Chatsworth St Ste 206
Granada Hills, CA 91344-5874
Phone (818) 937-0882

Other practice location 2

4712 E 2nd St
Long Beach, CA 90803-5309
Phone (818) 937-0882

Other practice location 3

1101 Fremont Ave Ste 101
South Pasadena, CA 91030-5704
Phone (818) 937-0882

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Inizio Interventions, Inc. Behavior Analyst PastSince Oct 20, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1043852635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 OCEAN VIEW BLVD STE 320",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111438",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 OCEAN VIEW BLVD STE 320",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111438",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17037 Chatsworth St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913445874",
            "country_code": "US",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4712 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908035309",
            "country_code": "US",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Fremont Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910305704",
            "country_code": "US",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESHISHYAN",
        "first_name": "ELIZA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.