Individual provider Active NPI

Kristine Blikian, L.AC.

  • Acupuncturist
  • Glendale, CA
National Provider Identifier
1144770785
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC-17070 Issued in CA
Practice address
1600 Victory Blvd
Glendale, CA 91201-2915
Phone
(818) 244-5300
Fax
(818) 244-5353
NPI assigned
Oct 6, 2016
Last updated
Oct 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC-17070 CA Primary

Addresses

Primary practice location

1600 Victory Blvd
Glendale, CA 91201-2915

Mailing address

1600 Victory Blvd
Glendale, CA 91201-2915
Phone (818) 244-5300

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC-17070CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Blikian Chiropractic and Acupuncture Inc Acupuncturist CurrentSince Sep 21, 2020 Accepting new patients
Hagop Blikian Chiropractic Inc Past Accepting new patients

Locations

1600 Victory Blvd
Glendale, CA 91201
Phone (818) 242-0008

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1144770785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 VICTORY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012915",
            "telephone_number": "818-244-5300",
            "fax_number": "818-244-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 VICTORY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012915",
            "telephone_number": "818-244-5300",
            "fax_number": "818-244-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIKIAN",
        "first_name": "KRISTINE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC-17070",
            "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 Oct 6, 2016; 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.