Individual provider Active NPI

Victor M Nazarian, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1952344855
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23926 Issued in CA
Practice address
10921 Wilshire Blvd
Suite# 801
Los Angeles, CA 90024-3906
Phone
(310) 209-0425
Fax
(310) 209-0495
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23926 CA Primary

Addresses

Primary practice location

10921 Wilshire Blvd
Suite# 801
Los Angeles, CA 90024-3906

Mailing address

10921 Wilshire Blvd
Ste 801
Los Angeles, CA 90024-4003
Phone (310) 209-0425

Other identifiers 1

IdentifierTypeStateIssuer
DC0239260OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000815 CA Practitioner - ChiropracticPractitioner - Oral Surgery 8123118114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
IHS Medical Group PCGroup PAC ID 5799116075, 5 clinicians

Practice addresses (Care Compare)

10850 Wilshire Blvd
Suite 1130
Los Angeles, CA 90024-4323
Phone (310) 209-0425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC23926CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
IHS Medical Group PC CurrentSince Jan 1, 2021 Accepting new patients

Locations

10921 Wilshire Blvd
Ste 801
Los Angeles, CA 90024
Phone (310) 209-0425

10850 Wilshire Blvd
Ste 1130
Los Angeles, CA 90024
Phone (310) 209-0425

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1952344855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "STE 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244003",
            "telephone_number": "310-209-0425",
            "fax_number": "310-209-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "SUITE# 801",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243906",
            "telephone_number": "310-209-0425",
            "fax_number": "310-209-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIAN",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0239260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.