Individual provider Active NPI

Yervand Titizyan, DOCTOR OF CHIROPRACT

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1053093435
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36714 Issued in CA
Practice address
425 E Colorado St Ste 570
Glendale, CA 91205-5117
Phone
(747) 777-2255
Fax
(747) 777-4090
NPI assigned
Aug 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36714 CA Primary

Addresses

Primary practice location

425 E Colorado St Ste 570
Glendale, CA 91205-5117

Mailing address

425 E Colorado St Ste 570
Glendale, CA 91205-5117
Phone (747) 777-2255

Other practice location 1

3250 Wilshire Blvd Ste 1501
Los Angeles, CA 90010-1608
Phone (213) 291-0505

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
DC36714CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles United Spine Care Chiropractor CurrentSince Aug 25, 2025 Accepting new patients
Khademi Chiropractic Professional Corporation Chiropractor PastSince Aug 1, 2023 Accepting new patients

Locations

3250 Wilshire Blvd
Ste 1501
Los Angeles, CA 90010
Phone (213) 291-0505

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1053093435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E COLORADO ST STE 570",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055117",
            "telephone_number": "747-777-2255",
            "fax_number": "747-777-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E COLORADO ST STE 570",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055117",
            "telephone_number": "747-777-2255",
            "fax_number": "747-777-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Wilshire Blvd Ste 1501",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900101608",
            "country_code": "US",
            "telephone_number": "213-291-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TITIZYAN",
        "first_name": "YERVAND",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.