Organization Active NPI

Ciambotti-Titizian Chiropractic, Inc

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1184871493
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
19732 Issued in CA
Legal business name
CIAMBOTTI-TITIZIAN CHIROPRACTIC, INC
Practice address
1620 Victory Blvd
Glendale, CA 91201-2915
Phone
(818) 752-0366
Fax
(818) 247-2722
NPI assigned
Aug 19, 2008
Last updated
Aug 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Dr. John Philip Ciambotti, D.C.
Title
President
Phone
(818) 752-0366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30877 CA
Chiropractor 111N00000X 19732 CA Primary

Addresses

Primary practice location

1620 Victory Blvd
Glendale, CA 91201-2915

Mailing address

1620 Victory Blvd
Glendale, CA 91201-2915
Phone (818) 752-0366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140626001349 CA Part B Supplier - Clinic/Group Practice 7517182991 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1184871493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 VICTORY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012915",
            "telephone_number": "818-752-0366",
            "fax_number": "818-247-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 VICTORY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012915",
            "telephone_number": "818-752-0366",
            "fax_number": "818-247-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIAMBOTTI-TITIZIAN CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "CIAMBOTTI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-752-0366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30877",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19732",
            "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 Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.