Active NPI
Vahagn Jack Keshishyan, D.C.
- Chiropractor
- Burbank, CA
National Provider Identifier
1366428344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 25153
- Practice address
- 372 E Olive Ave
Burbank, CA 91502-1215 - Phone
- (818) 954-0747
- Fax
- (818) 954-9139
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 25153 | CA | Primary |
Addresses
Primary practice location
372 E Olive Ave
Burbank, CA 91502-1215
Mailing address
372 E Olive Ave
Burbank, CA 91502-1215
Phone (818) 954-0747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28708 Roadside Dr
Suite I
Agoura Hills, CA 91301-3300
Phone (818) 991-4685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slim and Slimmer Medical Associates | Past | Accepting new patients | |
| Integrative Medical Associates Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Agoura Hills, CA
- NPI 1750668919
-
- General Practice Physician
- Los Angeles, CA
- NPI 1083900179
-
- General Practice Physician
- Burbank, CA
- NPI 1487736609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366428344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 E OLIVE AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021215",
"telephone_number": "818-954-0747",
"fax_number": "818-954-9139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 E OLIVE AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021215",
"telephone_number": "818-954-0747",
"fax_number": "818-954-9139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESHISHYAN",
"first_name": "VAHAGN",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "25153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.