Organization Active NPI

Maya Chiropractic Center Inc

  • Chiropractor
  • San Fernando, CA
National Provider Identifier
1700199791
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31195 Issued in CA
Legal business name
MAYA CHIROPRACTIC CENTER INC
Practice address
321 N Maclay Ave
Unit C
San Fernando, CA 91340-2970
Phone
(818) 898-1000
Fax
(818) 898-1010
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Dr. Sanan Bardekjian, D.C.NPI 1154654291
Title
Dr/Vice-President
Phone
(818) 898-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 31195 CA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 30976 CA

Addresses

Primary practice location

321 N Maclay Ave
Unit C
San Fernando, CA 91340-2970

Mailing address

321 N Maclay Ave
Unit C
San Fernando, CA 91340-2970
Phone (818) 898-1000

National Provider Directory

National Provider Directory

Locations

321 N Maclay Ave
Ste C
San Fernando, CA 91340
Phone (818) 723-1963

Practitioners & affiliated clinicians

Practitioners 3

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": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1700199791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N MACLAY AVE",
            "address_2": "UNIT C",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402970",
            "telephone_number": "818-898-1000",
            "fax_number": "818-898-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MACLAY AVE",
            "address_2": "UNIT C",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402970",
            "telephone_number": "818-898-1000",
            "fax_number": "818-898-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "BARDEKJIAN",
        "authorized_official_first_name": "SANAN",
        "authorized_official_title_or_position": "DR/VICE-PRESIDENT",
        "authorized_official_telephone_number": "818-898-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31195",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.