Individual provider Active NPI

Jonathan Houshanian, DC

  • Sports Physician Chiropractor
  • Woodland Hills, CA
National Provider Identifier
1437729787
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
35077 Issued in CA
Practice address
6400 Canoga Ave # Sutit333
Woodland Hills, CA 91367-2425
Phone
(818) 703-8480
Fax
(818) 703-9125
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 35077 CA Primary

Addresses

Primary practice location

6400 Canoga Ave # Sutit333
Woodland Hills, CA 91367-2425

Mailing address

6400 Canoga Ave Ste 333
Woodland Hills, CA 91367-2492
Phone (818) 703-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35077CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Houshanian Chiropractic Inc Sports Physician CurrentSince Jan 1, 2025 Accepting new patients

Locations

6400 Canoga Ave
Ste 333
Woodland Hills, CA 91367
Phone (818) 703-8480

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1437729787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 CANOGA AVE STE 333",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672492",
            "telephone_number": "818-703-8480",
            "fax_number": "818-703-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CANOGA AVE # SUTIT333",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672425",
            "telephone_number": "818-703-8480",
            "fax_number": "818-703-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSHANIAN",
        "first_name": "JONATHAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "35077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.