Organization Active NPI

Raffi Iknadossian Chiropractic, Inc

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1861768509
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30038 Issued in CA
Legal business name
RAFFI IKNADOSSIAN CHIROPRACTIC, INC
Practice address
2750 E Washington Blvd Ste 140
Pasadena, CA 91107-1449
Phone
(626) 797-5800
Fax
(626) 797-5777
NPI assigned
Mar 27, 2012
Last updated
Mar 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Raffi Iknadossian, D.C.NPI 1942216171
Title
President
Phone
(626) 797-5800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30038 CA Primary

Addresses

Primary practice location

2750 E Washington Blvd Ste 140
Pasadena, CA 91107-1449

Mailing address

2750 E Washington Blvd Ste 140
Pasadena, CA 91107-1449
Phone (626) 797-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120706000196 CA Part B Supplier - Clinic/Group Practice 5294990727 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

2750 E Washington Blvd
Ste 140
Pasadena, CA 91107
Phone (626) 797-5800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1861768509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 E WASHINGTON BLVD STE 140",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071449",
            "telephone_number": "626-797-5800",
            "fax_number": "626-797-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E WASHINGTON BLVD STE 140",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071449",
            "telephone_number": "626-797-5800",
            "fax_number": "626-797-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI IKNADOSSIAN CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "IKNADOSSIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-797-5800",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.