Individual provider Active NPI

Heratch Gharibian, D.C.

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1649422320
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30442 Issued in CA
Practice address
3436 N Verdugo Rd Ste 250
Glendale, CA 91208-1546
Phone
(818) 497-6004
Fax
(949) 551-1281
NPI assigned
Oct 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30442 CA Primary

Addresses

Primary practice location

3436 N Verdugo Rd Ste 250
Glendale, CA 91208-1546

Mailing address

3436 N Verdugo Rd Ste 250
Glendale, CA 91208-1546
Phone (818) 497-6004

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

Practice roles

OrganizationSpecialtyStatusNew patients
HNNN Medical Corporation Past Accepting new patients
La Vida Clinic Inc PastSince Jul 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1649422320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 N VERDUGO RD STE 250",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081546",
            "telephone_number": "818-497-6004",
            "fax_number": "949-551-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 N VERDUGO RD STE 250",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081546",
            "telephone_number": "818-497-6004",
            "fax_number": "949-551-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARIBIAN",
        "first_name": "HERATCH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30442",
            "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 Oct 14, 2008; 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.