Individual provider Active NPI

Anthony Ben Morovati

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1407907983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20321 Issued in CA
Practice address
1111 N Brand Blvd Ste B
Glendale, CA 91202-3023
Phone
(818) 500-8484
Fax
(818) 500-8484
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 20321 CA Primary

Addresses

Primary practice location

1111 N Brand Blvd Ste B
Glendale, CA 91202-3023

Mailing address

1111 N Brand Blvd Ste B
Glendale, CA 91202-3023
Phone (818) 500-8484

Other names 1

  • Anthony Ben Morovati Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120127000493 CA Practitioner - Chiropractic 0648208199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3515 N Verdugo Rd
Glendale, CA 91208-1288
Phone (818) 369-7456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morovati Chiropractic Corp Chiropractor CurrentSince Sep 18, 2001 Accepting new patients

Locations

3515 N Verdugo Rd
Glendale, CA 91208
Phone (818) 369-7456

1111 N Brand Blvd
Ste B
Glendale, CA 91202
Phone (818) 246-4068

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407907983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023023",
            "telephone_number": "818-500-8484",
            "fax_number": "818-500-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023023",
            "telephone_number": "818-500-8484",
            "fax_number": "818-500-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROVATI",
        "first_name": "ANTHONY",
        "middle_name": "BEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "MOROVATI",
            "middle_name": "BEN",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.

Verify at the official NPI Registry.