Blake Johnathan Broukhim, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC20441 Issued in CA

Practice address

10614 Riverside Dr
North Hollywood, CA 91602-2373

Phone

(818) 755-6070

Fax

(818) 755-1870

NPI assigned

Sep 26, 2025

Last updated

Oct 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blake Broukhim Acupuncture Inc

  • Acupuncturist
  • North Hollywood, CA
  • NPI 1306714845
  NPD Authorized official
• Benjamin Broukhim M.D. a Medical Corp

  • Orthopaedic Surgery Physician
  • North Hollywood, CA
  • NPI 1962659151
  NPD (past)

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1427921378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022373",
            "telephone_number": "818-755-6070",
            "fax_number": "818-755-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10614 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022373",
            "telephone_number": "818-755-6070",
            "fax_number": "818-755-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Westwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900245608",
            "country_code": "US",
            "telephone_number": "310-234-6600",
            "fax_number": "818-755-1870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9025 Wilshire Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111827",
            "country_code": "US",
            "telephone_number": "310-786-2909",
            "fax_number": "818-755-1870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUKHIM",
        "first_name": "BLAKE",
        "middle_name": "JOHNATHAN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC20441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Brooks, M.A.
• Behrouz Broomand, MD
• Brian B. Broomand, PSYD
• Behrooz Broukhim, MD
• Benjamin Broukhim, M.D.
• Kamran H. Broukhim, M.D.
• Alexis Brown
• Kristopher John Brown
• Patricia M. Brown, OTRL
• Thea Brown, MA

• Acupuncturist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.