Active NPI
Raffi S Iknadossian, D.C.
- Chiropractor
- Pasadena, CA
National Provider Identifier
1942216171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-30038
- Practice address
- 2750 E. Washington Blvd. Suite 140
Pasadena, CA 91107 - Phone
- (626) 975-1705
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 | DC-30038 | CA | Primary |
Addresses
Primary practice location
2750 E. Washington Blvd. Suite 140
Pasadena, CA 91107
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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2355 E Washington Blvd
Suite a
Pasadena, CA 91104-1948
Phone (626) 797-5800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30038 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raffi Iknadossian Chiropractic, Inc | Chiropractor | Current | Accepting new patients |
Locations
2750 E Washington Blvd
Ste 140
Pasadena, CA 91107
Phone (626) 398-4069
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Pasadena, CA
- NPI 1861768509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1942216171",
"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. SUITE 140",
"city": "PASADENA",
"state": "CA",
"postal_code": "91107",
"telephone_number": "626-975-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKNADOSSIAN",
"first_name": "RAFFI",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-30038",
"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.
- 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.