Individual provider Active NPI

Ivy Malati, DC

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1962824524
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32348 Issued in CA
Practice address
1107 S Alvarado St Ste 103
Los Angeles, CA 90006-4161
Phone
(323) 895-2711
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32348 CA Primary

Addresses

Primary practice location

1107 S Alvarado St Ste 103
Los Angeles, CA 90006-4161

Mailing address

18734 Vista del Canon Unit C
Santa Clarita, CA 91321-4528
Phone (818) 913-7758

Other names 1

  • Ivy Khachatourian Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1962824524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18734 VISTA DEL CANON UNIT C",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913214528",
            "telephone_number": "818-913-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S ALVARADO ST STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064161",
            "telephone_number": "323-895-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALATI",
        "first_name": "IVY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "KHACHATOURIAN",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 26, 2020; 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.