PATRICK AVEDISSIAN, d.c. — NPI 1275749897 (Licensed & Credentialed Chiropractic Providers

CMS-1500 Box 24J / 33a • NPI

1275749897

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

111NN1001X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Nutrition

Box 32 Service Location & ZIP+4

1615 ABBOT KINNEY BLVD, VENICE, CA, 90291-3744

✓ 9-Digit EDI 837 ZIP+4 (90291-3744)

Practice Phone & Referral Fax

(310) 399-7199

Fax: (310) 399-5659

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1275749897 (PATRICK AVEDISSIAN, d.c.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1275749897` (NPI-1 Individual Practitioner)
Provider / Legal Name	PATRICK AVEDISSIAN, d.c.
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Nutrition NUCC Code: `111NN1001X` (Chiropractor, Nutrition)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1615 ABBOT KINNEY BLVD, VENICE, CA, 90291-3744
Practice Telephone / Fax	Tel: (310) 399-7199 \| Fax: (310) 399-5659
Administrative Mailing Address	22 PALOMA AVE APT A, VENICE, CA, 90291-6402
Enumeration & Last Sync	Enumerated: 2007-05-14 \| CMS Record Updated: 2025-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1615 ABBOT KINNEY BLVD, VENICE, CA, 90291-3744

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Plain-English Taxonomy & CMS Crosswalk (111NN1001X)

What Does Taxonomy Code 111NN1001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NN1001X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Nutrition"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Nutrition for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PATRICK AVEDISSIAN, d.c.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111N00000X` — Chiropractor Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor	State: CA \| License: `dc25838` \| Primary: Secondary
`111NN1001X` — Chiropractor, Nutrition Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Nutrition	State: CA \| License: `dc25838` \| Primary: Yes (Primary)
`111NS0005X` — Chiropractor, Sports Physician Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Sports Physician	State: CA \| License: `dc25838` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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PATRICK AVEDISSIAN, d.c. (NPI #1275749897)