Individual provider Active NPI

Vartan John Djabrayan, D.C.

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1619267424
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25132 Issued in CA
Practice address
30 E Minarets Ave
Fresno, CA 93650-1215
Phone
(559) 307-4400
Fax
(559) 412-4394
NPI assigned
Apr 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25132 CA Primary

Addresses

Primary practice location

30 E Minarets Ave
Fresno, CA 93650-1215

Mailing address

30 E Minarets Ave
Fresno, CA 93650-1215
Phone (559) 307-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917001370 CA Practitioner - Chiropractic 7113421777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4420 N
1St Suite 123
Fresno, CA 93726

4420 N 1St St
Suite 123
Fresno, CA 93726-2328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25132CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Todos Para la Salud Current Accepting new patients
Todos Para la Salud CurrentSince Jul 1, 2025 Accepting new patients
Todos Para la Salud CurrentSince Jul 1, 2025 Accepting new patients

Locations

4420 N 1st St
Ste 123
Fresno, CA 93726
Phone (559) 231-5366

3030 N Fresno St
Ste 101
Fresno, CA 93703
Phone (509) 999-8055

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCGBCD

Organizations & group practices 3

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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1619267424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E MINARETS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "936501215",
            "telephone_number": "559-307-4400",
            "fax_number": "559-412-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E MINARETS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "936501215",
            "telephone_number": "559-307-4400",
            "fax_number": "559-412-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJABRAYAN",
        "first_name": "VARTAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.