Individual provider Active NPI

Harma Mirzakhanian, D.C.

  • Chiropractor
  • Glendale, CA
National Provider Identifier
1891980371
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30693 Issued in CA
Practice address
1412 W Glenoaks Blvd
Suite E
Glendale, CA 91201-1980
Phone
(818) 241-0101
NPI assigned
Sep 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30693 CA Primary

Addresses

Primary practice location

1412 W Glenoaks Blvd
Suite E
Glendale, CA 91201-1980

Mailing address

1412 W Glenoaks Blvd
Suite E
Glendale, CA 91201-1980
Phone (818) 241-0101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000607 CA Practitioner - Chiropractic 1759461825 Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1412 W Glenoaks Blvd
Suite E
Glendale, CA 91201-1996
Phone (818) 248-0019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1891980371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W GLENOAKS BLVD",
            "address_2": "SUITE E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011980",
            "telephone_number": "818-241-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W GLENOAKS BLVD",
            "address_2": "SUITE E",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011980",
            "telephone_number": "818-241-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAKHANIAN",
        "first_name": "HARMA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30693",
            "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 Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.