Individual provider Active NPI

Gagik Alvandian, D.C.

  • Chiropractor
  • Woodland Hills, CA
National Provider Identifier
1952437006
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26266 Issued in CA
Practice address
20335 Ventura Blvd
Suite 108
Woodland Hills, CA 91364-2444
Phone
(818) 704-1662
Fax
(818) 884-6795
NPI assigned
Feb 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26266 CA Primary

Addresses

Primary practice location

20335 Ventura Blvd
Suite 108
Woodland Hills, CA 91364-2444

Mailing address

20335 Ventura Blvd
Suite 108
Woodland Hills, CA 91364-2444
Phone (818) 704-1662

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060316000546 CA Practitioner - Chiropractic 8921015850 Practice locations: Glendale, CA; Woodland Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20335 Ventura Blvd
Woodland Hills, CA 91364-2465
Phone (818) 704-1662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26266CAMDChiropractor
26266CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Health Chiropractic Chiropractor PastSince Jan 1, 1990 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": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1952437006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20335 VENTURA BLVD",
            "address_2": "SUITE 108",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642444",
            "telephone_number": "818-704-1662",
            "fax_number": "818-884-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20335 VENTURA BLVD",
            "address_2": "SUITE 108",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642444",
            "telephone_number": "818-704-1662",
            "fax_number": "818-884-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVANDIAN",
        "first_name": "GAGIK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.