Active NPI
Harma Mirzakhanian, D.C.
- Chiropractor
- Glendale, CA
National Provider Identifier
1891980371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 30693
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.