SHAKE DAVTYAN (NPI# 1952586125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952586125 |
| Entity Type | Individual |
| Full Name | SHAKE DAVTYAN |
| Credential | DC |
| Practice Address |
5250 Santa Monica Blvd Suite #307 Los Angeles CA 90029-1252 |
| Practice Telephone | 3239130339 |
| Practice Fax Number | 3239130339 |
| Mailing Telephone | 3239130339 |
| Mailing Fax Number | 3239130339 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC21935 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DC0219350 | 05 |
| Street Address |
5250 SANTA MONICA BLVD SUITE #307 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124004742 | Virginia Chan Castelo | Dentist | 5250 Santa Monica Blvd, Suite 210, Los Angeles, CA 90029 | 2005-12-15 |
| 1215333224 | Santa Monica Hospice Care, Inc. | Hospice Care, Community Based | 5250 Santa Monica Blvd, #218, Los Angeles, CA 90029-1252 | 2014-11-18 |
| 1043616055 | Hobart Hospice Care, Inc. | Hospice Care, Community Based | 5250 Santa Monica Blvd, #214, Los Angeles, CA 90029-1252 | 2014-11-18 |
| 1780013888 | Sun Soo Kim | Acupuncturist | 5250 Santa Monica Blvd, Suite 208, Los Angeles, CA 90029 | 2013-11-08 |
| 1043555451 | Sarah Louise Hess | Counselor | 5250 Santa Monica Blvd, 218, Los Angeles, CA 90029-1252 | 2012-12-11 |
| 1487999892 | Sergio Barron | Counselor | 5250 Santa Monica Blvd, 218/, Los Angeles, CA 90029-1252 | 2012-12-11 |
| 1528394418 | Sober Life Inc. | Substance Abuse Rehabilitation Facility | 5250 Santa Monica Blvd, Suite 218, Los Angeles, CA 90029-1252 | 2009-10-27 |
| 1306079611 | Magnolia Wellness Center, Inc. | Acupuncturist | 5250 Santa Monica Blvd, 306a, Los Angeles, CA 90029-1252 | 2009-09-02 |
| 1942474093 | Santa Monica Home Health Care, Inc. | Home Health | 5250 Santa Monica Blvd, Suite 305, Los Angeles, CA 90029-1252 | 2008-04-19 |
| 1477735603 | Ter- Zakarian Medical Clinic and Laboratory Services Inc | Family Medicine | 5250 Santa Monica Blvd, 310, Los Angeles, CA 90029-1252 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181646 | Astkhik Bagdasaryan | Chiropractor | 5250 Santa Monica Blvd Ste 303, Los Angeles, CA 90029-1255 | 2020-10-13 |
| 1205433661 | Henry Rivera | Chiropractor | 11075 Santa Monica Blvd Ste 175, Los Angeles, CA 90025-7567 | 2020-10-07 |
| 1801417563 | Sangwook Lee | Chiropractor | 680 S Berendo St Apt 529, Los Angeles, CA 90005-2087 | 2020-05-04 |
| 1760003149 | Danielle Christine Johnston | Chiropractor | 1280 S Barrington Ave Apt 14, Los Angeles, CA 90025-1642 | 2020-04-27 |
| 1942820980 | Peter Yi | Chiropractor | 919 S Soto St Ste 5, Los Angeles, CA 90023-1303 | 2020-04-20 |
| 1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
| 1114552254 | Alkemy Acupuncture & Integrative Medicine, Inc. | Chiropractor | 700 W 9th St Apt 2418, Los Angeles, CA 90015-4545 | 2020-03-09 |
| 1205469764 | Tom Chung Optimum Chiropractic, Inc | Chiropractor | 3727 W 6th St Ste 616, Los Angeles, CA 90020-5111 | 2020-02-12 |
| 1639715352 | Jack Li, D.c., A Chiropractic Corporation | Chiropractor | 12340 Santa Monica Blvd Ste 129, Los Angeles, CA 90025-2584 | 2019-11-18 |
| 1740837384 | Annie Somi Lee | Chiropractor | 1458 S San Pedro St # L19, Los Angeles, CA 90015-3144 | 2019-08-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
Please comment or provide details below to improve the information on SHAKE DAVTYAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.