Individual provider Active NPI

Karine Jeghelian, DC

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1275707341
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30129 Issued in CA
Practice address
815 E Colorado St
#110A
Glendale, CA 91205-1200
Phone
(818) 242-1910
Fax
(818) 242-1990
NPI assigned
Apr 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30129 CA Primary

Addresses

Primary practice location

815 E Colorado St
#110A
Glendale, CA 91205-1200

Mailing address

815 E Colorado St
#110A
Glendale, CA 91205-1200
Phone (818) 242-1910

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
DC30129CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Fidelity Medical Group Inc Chiropractor Past 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": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1275707341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E COLORADO ST",
            "address_2": "#110A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051200",
            "telephone_number": "818-242-1910",
            "fax_number": "818-242-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E COLORADO ST",
            "address_2": "#110A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051200",
            "telephone_number": "818-242-1910",
            "fax_number": "818-242-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEGHELIAN",
        "first_name": "KARINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30129",
            "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 18, 2008; 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.