Individual provider Active NPI

Rafi Hovanessian, D.C.

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1447307202
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30285 Issued in CA
Practice address
600 W Broadway
Suite 235
Glendale, CA 91204-1033
Phone
(818) 552-5025
Fax
(818) 552-5026
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30285 CA Primary

Addresses

Primary practice location

600 W Broadway
Suite 235
Glendale, CA 91204-1033

Mailing address

600 W Broadway
Suite 235
Glendale, CA 91204-1033
Phone (818) 552-5025

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1447307202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY",
            "address_2": "SUITE 235",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041033",
            "telephone_number": "818-552-5025",
            "fax_number": "818-552-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY",
            "address_2": "SUITE 235",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041033",
            "telephone_number": "818-552-5025",
            "fax_number": "818-552-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVANESSIAN",
        "first_name": "RAFI",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30285",
            "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 Apr 3, 2012; 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.