Individual provider Active NPI

Patrick Karamkhodian, D.C.

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1336636935
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC34110 Issued in CA
Practice address
130 N Brand Blvd Ste 202
Glendale, CA 91203-2617
Phone
(424) 217-5658
Fax
(424) 217-5653
NPI assigned
Apr 18, 2018
Reactivated
Dec 23, 2019
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC34110 CA Primary

Addresses

Primary practice location

130 N Brand Blvd Ste 202
Glendale, CA 91203-2617

Mailing address

130 N Brand Blvd Ste 202
Glendale, CA 91203-2617
Phone (424) 217-5658

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

State licenses

LicenseStateTypeSpecialty
DC34110CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Performance Chiropractic by Karamkhodian Patrick Inc Chiropractor CurrentSince Apr 20, 2021 Accepting new patients

Locations

1201 S Victory Blvd
Ste 106
Burbank, CA 91502

130 N Brand Blvd
Ste 202
Glendale, CA 91203
Phone (424) 217-5658

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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1336636935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N BRAND BLVD STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032617",
            "telephone_number": "424-217-5658",
            "fax_number": "424-217-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N BRAND BLVD STE 202",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032617",
            "telephone_number": "424-217-5658",
            "fax_number": "424-217-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAMKHODIAN",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "deactivation_date": "2018-07-25",
        "reactivation_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34110",
            "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 Mar 25, 2026; 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.