Organization Active NPI

Boghossian & Martikian Chiropractic Inc

  • Clinic/Center
  • Glendale, CA
National Provider Identifier
1467653451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC26683 Issued in CA
Legal business name
BOGHOSSIAN & MARTIKIAN CHIROPRACTIC INC
Practice address
435 Arden Ave Ste 120
Glendale, CA 91203-4028
Phone
(818) 242-5020
Fax
(818) 242-5023
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Boghossian, D.C.
Title
Ceo Dr
Phone
(818) 242-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DC26683 CA Primary

Addresses

Primary practice location

435 Arden Ave Ste 120
Glendale, CA 91203-4028

Mailing address

435 Arden Ave Ste 120
Glendale, CA 91203-4028
Phone (818) 242-5020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110810000327 CA Part B Supplier - Clinic/Group Practice 0244409126 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

435 Arden Ave
Ste 120
Glendale, CA 91203
Phone (818) 242-5020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467653451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034028",
            "telephone_number": "818-242-5020",
            "fax_number": "818-242-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034028",
            "telephone_number": "818-242-5020",
            "fax_number": "818-242-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGHOSSIAN & MARTIKIAN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGHOSSIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO DR",
        "authorized_official_telephone_number": "818-242-5020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "DC26683",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.