Individual provider Active NPI

Ilanit Henn, D.C, B.A, I.M.E

  • Chiropractor
  • Tarzana, CA
National Provider Identifier
1326039207
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27791 Issued in CA
Practice address
18719 Calvert St
Tarzana, CA 91335-6812
Phone
(818) 385-0385
Fax
(310) 402-8167
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X DC27791 CA
Sports Physician Chiropractor 111NS0005X DC27791 CA
Chiropractor 111N00000X DC27791 CA Primary

Addresses

Primary practice location

18719 Calvert St
Tarzana, CA 91335-6812

Mailing address

4924 Balboa Blvd
Encino, CA 91316-3402
Phone (818) 385-0385

Other practice location 1

17337 Ventura Blvd
Encino, CA 91316-4924
Phone (818) 385-0385

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)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
DC27791CAMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1326039207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 BALBOA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163402",
            "telephone_number": "818-385-0385",
            "fax_number": "310-402-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18719 CALVERT ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913356812",
            "telephone_number": "818-385-0385",
            "fax_number": "310-402-8167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17337 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913164924",
            "country_code": "US",
            "telephone_number": "818-385-0385",
            "fax_number": "818-385-0260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENN",
        "first_name": "ILANIT",
        "name_prefix": "Dr.",
        "credential": "D.C, B.A, I.M.E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC27791",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC27791",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.