Individual provider Active NPI

Tigran Parvanian, DPT

  • Physical Therapist
  • West Hollywood, CA
National Provider Identifier
1255003521
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300790 Issued in CA
Practice address
8354 Santa Monica Blvd
West Hollywood, CA 90069-4313
Phone
(323) 831-2455
NPI assigned
Oct 4, 2021
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300790 CA Primary

Addresses

Primary practice location

8354 Santa Monica Blvd
West Hollywood, CA 90069-4313

Mailing address

607 E Magnolia Blvd Apt E
Burbank, CA 91501-2639
Phone (818) 929-2552

Other practice location 1

12833 Ventura Blvd Unit 153
Studio City, CA 91604-2368
Phone (323) 826-5277

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
300790CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myodetox California PC Inc. CurrentSince Jul 1, 2022 Accepting new patients

Locations

12833 Ventura Blvd
Unit 153
Studio City, CA 91604
Phone (323) 826-5277

8354 Santa Monica Blvd
West Hollywood, CA 90069
Phone (323) 831-2455

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, 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": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1255003521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E MAGNOLIA BLVD APT E",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012639",
            "telephone_number": "818-929-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8354 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694313",
            "telephone_number": "323-831-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12833 Ventura Blvd Unit 153",
            "address_purpose": "LOCATION",
            "city": "Studio City",
            "state": "CA",
            "postal_code": "916042368",
            "country_code": "US",
            "telephone_number": "323-826-5277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARVANIAN",
        "first_name": "TIGRAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.