Individual provider Active NPI

Melineh Melanie Gregorian, D.C

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1285818138
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30691 Issued in CA
Practice address
1100 E Broadway Ste 203
Glendale, CA 91205
Phone
(818) 334-8600
Fax
(818) 824-6568
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30691 CA Primary

Addresses

Primary practice location

1100 E Broadway Ste 203
Glendale, CA 91205

Mailing address

540 N Jackson St Apt 104
Glendale, CA 91206-3209
Phone (818) 913-1798

Other practice location 1

12626 Riverside dr
ste 301
valley village, CA 91607
Phone (818) 913-1798

Other practice location 2

12626 Riverside dr
ste 301
valley village, CA 91607
Phone (818) 913-1798

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000703 CA Practitioner - Chiropractic 7416035639 Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1505 Wilson Ter
Suite 310
Glendale, CA 91206-4073
Phone (818) 334-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Start Life Chiropractic Chiropractor PastSince Jul 26, 2011 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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1285818138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N JACKSON ST APT 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063209",
            "telephone_number": "818-913-1798",
            "fax_number": "818-824-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-334-8600",
            "fax_number": "818-824-6568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12626 Riverside dr",
            "address_2": "ste 301",
            "address_purpose": "LOCATION",
            "city": "valley village",
            "state": "CA",
            "postal_code": "91607",
            "country_code": "US",
            "telephone_number": "818-913-1798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12626 Riverside dr",
            "address_2": "ste 301",
            "address_purpose": "LOCATION",
            "city": "valley village",
            "state": "CA",
            "postal_code": "91607",
            "country_code": "US",
            "telephone_number": "818-913-1798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORIAN",
        "first_name": "MELINEH",
        "middle_name": "MELANIE",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30691",
            "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 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.