Individual provider Active NPI

Vahe Yeghyayan, D.C.

  • Chiropractor
  • Tarzana, CA
National Provider Identifier
1437257516
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26597 Issued in CA
Practice address
18906 Ventura Blvd
Tarzana, CA 91356-3212
Phone
(818) 774-1620
Fax
(818) 774-1615
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 DC26597 CA Primary

Addresses

Primary practice location

18906 Ventura Blvd
Tarzana, CA 91356-3212

Mailing address

18906 Ventura Blvd
Tarzana, CA 91356-3212
Phone (818) 774-1620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000810 CA Practitioner - Chiropractic 5597953232 Practice locations: Tarzana, CA

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

Practice addresses (Care Compare)

18906 Ventura Blvd
Tarzana, CA 91356-3212
Phone (818) 774-1620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26597CAMDChiropractor
26597CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437257516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18906 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563212",
            "telephone_number": "818-774-1620",
            "fax_number": "818-774-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18906 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563212",
            "telephone_number": "818-774-1620",
            "fax_number": "818-774-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGHYAYAN",
        "first_name": "VAHE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.