Individual provider Active NPI

Ara Tepelekian, D.C.

  • Chiropractor
  • Northridge, CA
National Provider Identifier
1376637819
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27178 Issued in CA
Practice address
18531 Roscoe Blvd.
Suite 215
Northridge, CA 91324
Phone
(818) 700-0478
Fax
(818) 975-9995
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27178 CA Primary

Addresses

Primary practice location

18531 Roscoe Blvd.
Suite 215
Northridge, CA 91324

Mailing address

18531 Roscoe Blvd.
Suite 215
Northridge, CA 91324
Phone (818) 700-0478

Other practice location 1

1101 N Pacific Ave Ste 104
Glendale, CA 91202-4313
Phone (818) 700-0478

Other identifiers 1

IdentifierTypeStateIssuer
DC27178OtherCALICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090309000639 CA Practitioner - Chiropractic 7911063334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tepelekian Chiropractic IncGroup PAC ID 3577612373, 2 clinicians

Practice addresses (Care Compare)

18531 Roscoe Blvd
Suite 215
Northridge, CA 91324-5975
Phone (818) 700-0478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC27178CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tepelekian Chiropractic, Inc Chiropractor CurrentSince Jan 2, 2009 Accepting new patients
Total Corf, Inc. PastSince May 8, 2017 Accepting new patients

Locations

1101 N Pacific Ave
Ste 104
Glendale, CA 91202
Phone (818) 552-5000

18531 Roscoe Blvd
Ste 215
Northridge, CA 91324
Phone (818) 700-0411

18546 Roscoe Blvd
Ste 307
Northridge, CA 91324
Phone (818) 700-0478

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1376637819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD.",
            "address_2": "SUITE 215",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91324",
            "telephone_number": "818-700-0478",
            "fax_number": "818-975-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD.",
            "address_2": "SUITE 215",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91324",
            "telephone_number": "818-700-0478",
            "fax_number": "818-975-9995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 N Pacific Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912024313",
            "country_code": "US",
            "telephone_number": "818-700-0478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEPELEKIAN",
        "first_name": "ARA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC27178",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.