Active NPI
Victor M Nazarian, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1952344855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23926
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0239260 | Other | CA | BLUE SHIELD |
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
- Los Angeles College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC23926 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| IHS Medical Group PC | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
- NPI 1164999306
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.