Individual provider Active NPI

Tsolag Jimmy Kazandjian, D.C., L.AC.

  • Chiropractor
  • Burbank, CA
National Provider Identifier
1902995053
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30283 Issued in CA
Practice address
265 E Orange Grove Ave Ste B
Burbank, CA 91502
Phone
(818) 500-9291
Fax
(818) 660-2590
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC12433 CA
Chiropractor 111N00000X DC30283 CA Primary

Addresses

Primary practice location

265 E Orange Grove Ave Ste B
Burbank, CA 91502

Mailing address

265 E Orange Grove Ave Ste B
Burbank, CA 91502-1229
Phone (818) 500-9291

Other identifiers 1

IdentifierTypeStateIssuer
W20486OtherCAMEDICARE GROUP ID

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC12433CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kazandjian Chiropractic Health Center Inc. Chiropractor PastSince Feb 19, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1902995053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E ORANGE GROVE AVE STE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021229",
            "telephone_number": "818-500-9291",
            "fax_number": "818-660-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E ORANGE GROVE AVE STE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91502",
            "telephone_number": "818-500-9291",
            "fax_number": "818-660-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZANDJIAN",
        "first_name": "TSOLAG",
        "middle_name": "JIMMY",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12433",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "W20486",
            "state": "CA"
        }
    ],
    "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 May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.