Individual provider Active NPI

Armen B Agacanyan, D.C.

  • Chiropractor
  • Morgan Hill, CA
National Provider Identifier
1902850100
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29204 Issued in CA
Practice address
18525 Sutter Blvd Ste 200
Morgan Hill, CA 95037-2899
Phone
(408) 779-3565
Fax
(408) 779-9810
NPI assigned
May 20, 2006
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29204 CA Primary

Addresses

Primary practice location

18525 Sutter Blvd Ste 200
Morgan Hill, CA 95037-2899

Mailing address

18525 Sutter Blvd Ste 200
Morgan Hill, CA 95037-2899
Phone (408) 779-3565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000959 CA Practitioner - Chiropractic 9739157769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Dr Armen B Agacanyan DC Chiropractic CorporationGroup PAC ID 3971860917, 3 clinicians

Practice addresses (Care Compare)

18525 Sutter Blvd
Suite 200
Morgan Hill, CA 95037-2899
Phone (408) 779-3565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29204CAMDChiropractor
29204CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Armen B. Agacanyan DC Chiropractic Corporation Chiropractor CurrentSince Jul 31, 2009 Accepting new patients
Janzen & Janzen Chiropractic Corporation Chiropractor PastSince Apr 1, 2000 Accepting new patients

Locations

18525 Sutter Blvd
Ste 200
Morgan Hill, CA 95037
Phone (408) 421-0267

88 W 2nd St
Morgan Hill, CA 95037
Phone (408) 500-2480

Organizations & group practices 2

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1902850100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 SUTTER BLVD STE 200",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372899",
            "telephone_number": "408-779-3565",
            "fax_number": "408-779-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18525 SUTTER BLVD STE 200",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372899",
            "telephone_number": "408-779-3565",
            "fax_number": "408-779-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGACANYAN",
        "first_name": "ARMEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.