Individual provider Active NPI

Susanna Susie Drmandjian, DC

  • Chiropractor
  • Studio City, CA
National Provider Identifier
1982190971
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34253 Issued in CA
Practice address
13223 Ventura Blvd Ste D
Studio City, CA 91604-1801
Phone
(818) 981-2639
Fax
(818) 981-2640
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 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 34253 CA Primary

Addresses

Primary practice location

13223 Ventura Blvd Ste D
Studio City, CA 91604-1801

Mailing address

13223 Ventura Blvd Ste D
Studio City, CA 91604-1801
Phone (818) 981-2639

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

State licenses

LicenseStateTypeSpecialty
34253CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1982190971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13223 VENTURA BLVD STE D",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041801",
            "telephone_number": "818-981-2639",
            "fax_number": "818-981-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13223 VENTURA BLVD STE D",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041801",
            "telephone_number": "818-981-2639",
            "fax_number": "818-981-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRMANDJIAN",
        "first_name": "SUSANNA",
        "middle_name": "SUSIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.