Active NPI
Karine Rebeca Badivian, LAC
- Acupuncturist
- Burbank, CA
National Provider Identifier
1861635633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 12930
- Practice address
- 949 Bethany Rd
Burbank, CA 91504-3012 - Phone
- (818) 563-3650
- Fax
- (818) 563-3650
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 12930 | CA | Primary |
Addresses
Primary practice location
949 Bethany Rd
Burbank, CA 91504-3012
Mailing address
949 Bethany Rd
Burbank, CA 91504-3012
Phone (818) 563-3650
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 12930 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1861635633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 BETHANY RD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915043012",
"telephone_number": "818-563-3650",
"fax_number": "818-563-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 BETHANY RD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915043012",
"telephone_number": "818-563-3650",
"fax_number": "818-563-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADIVIAN",
"first_name": "KARINE",
"middle_name": "REBECA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-09",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 12930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.