Individual provider Active NPI

Gagik Isahakian, L.AC.

  • Acupuncturist
  • Glendale, CA
National Provider Identifier
1801986831
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6852 Issued in CA
Practice address
600 W Broadway
Suite 135
Glendale, CA 91204-1022
Phone
(818) 550-7860
NPI assigned
Oct 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6852 CA Primary

Addresses

Primary practice location

600 W Broadway
Suite 135
Glendale, CA 91204-1022

Mailing address

1204 E Lexington Dr
#9
Glendale, CA 91206-6004
Phone (818) 243-2360

Other identifiers 1

IdentifierTypeStateIssuer
AC0068520MedicaidCA

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
Daydream Acupuncture, Inc. Acupuncturist Past Accepting new patients
Daydream Acupuncture, Inc. Acupuncturist PastSince Jul 30, 2023 Accepting new patients
Daydream Acupuncture, Inc. Acupuncturist Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801986831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E LEXINGTON DR",
            "address_2": "#9",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912066004",
            "telephone_number": "818-243-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W BROADWAY",
            "address_2": "SUITE 135",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041022",
            "telephone_number": "818-550-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAHAKIAN",
        "first_name": "GAGIK",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC0068520",
            "state": "CA"
        }
    ],
    "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 Jul 9, 2007; 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.