Active NPI
Christine Igidbashian, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1285932863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 29389
- Practice address
- 711 N la Jolla Ave
Los Angeles, CA 90046-6807 - Phone
- (949) 648-1679
- NPI assigned
- Mar 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 29389 | CA | Primary |
Addresses
Primary practice location
711 N la Jolla Ave
Los Angeles, CA 90046-6807
Mailing address
11713 Rancho Verde Dr
Whittier, CA 90601-1907
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29389 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1285932863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11713 RANCHO VERDE DR",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906011907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 N LA JOLLA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900466807",
"telephone_number": "949-648-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGIDBASHIAN",
"first_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-07",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "29389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.