Active NPI
Vartan John Djabrayan, D.C.
- Chiropractor
- Fresno, CA
National Provider Identifier
1619267424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25132
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC25132 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todos Para la Salud | Current | Accepting new patients | |
| Todos Para la Salud | Current | Accepting new patients | |
| Todos Para la Salud | Current | 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
- 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.
-
- Clinic/Center
- Fresno, CA
- NPI 1184164873
-
- Family Medicine Physician
- Fresno, CA
- NPI 1073321543
-
- Primary Care Clinic/Center
- Fresno, CA
- NPI 1740625235
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.