Individual provider Active NPI

Gassia Titizian, D.C.

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1396991006
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30877 Issued in CA
Practice address
1620 Victory Blvd
Glendale, CA 91201-2915
Phone
(818) 752-0366
Fax
(818) 247-2722
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30877 CA Primary

Addresses

Primary practice location

1620 Victory Blvd
Glendale, CA 91201-2915

Mailing address

1620 Victory Blvd
Glendale, CA 91201-2915
Phone (818) 752-0366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000122 CA Practitioner - Chiropractic 5092878249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1620 Victory Blvd
Glendale, CA 91201-2915
Phone (818) 244-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30877CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clisby-Titizian Chiropractic Inc. Chiropractor Current Accepting new patients
Ciambotti-Titizian Chiropractic, Inc Chiropractor CurrentSince Mar 12, 2014 Accepting new patients

Locations

1620 Victory Blvd
Glendale, CA 91201
Phone (818) 244-7600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1396991006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 VICTORY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012915",
            "telephone_number": "818-752-0366",
            "fax_number": "818-247-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 VICTORY BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012915",
            "telephone_number": "818-752-0366",
            "fax_number": "818-247-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITIZIAN",
        "first_name": "GASSIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30877",
            "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 Aug 13, 2008; 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.