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BLAKE JOHNATHAN BROUKHIM LAC
NPI 1427921378
Acupuncturist in North Hollywood, CA

Active since September 26, 2025PECOS Enrolled
10614 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602(818) 755-6070(818) 755-1870 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Blake Johnathan Broukhim Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE JOHNATHAN BROUKHIM LAC (NPI 1427921378) is an individual acupuncturist in North Hollywood, California, licensed in California (AC20441) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1427921378
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameBLAKE JOHNATHAN BROUKHIMCredential: LAC
Location Address10614 RIVERSIDE DRNorth Hollywood, CA 91602-2373
Mailing Address10614 Riverside DrNorth Hollywood, CA 91602-2373 · (818) 755-6070 · Fax (818) 755-1870
Phone(818) 755-6070
Fax(818) 755-1870
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 26, 2025
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1427921378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CA · AC20441
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
10614 RIVERSIDE DR, North Hollywood, CA 91602
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Secondary Practice Locations 2

Location 11700 Westwood BlvdLos Angeles, CA 90024-5608 · Phone (310) 234-6600 · Fax (818) 755-1870
Location 29025 Wilshire Blvd Ste 300Beverly Hills, CA 90211-1827 · Phone (310) 786-2909 · Fax (818) 755-1870

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Johnathan Broukhim Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789150848
PECOS Enrollment IDI20260416000110
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BENJAMIN BROUKHIM M.D.
Orthopaedic Surgery
10614 RIVERSIDE DR
NORTH HOLLYWOOD, CA 91602
Los Angeles County (818) 755-6070
BLAKE BROUKHIM ACUPUNCTURE INC
Acupuncturist
10614 RIVERSIDE DR
NORTH HOLLYWOOD, CA 91602
Los Angeles County (818) 755-6070
JOHN J MCGROARTY M D INC A MEDICAL CORPORATION
Ophthalmology
10614 RIVERSIDE DR
NORTH HOLLYWOOD, CA 91602
Los Angeles County (818) 763-8839

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Broukhim's NPI number?

The NPI number for Blake Broukhim is 1427921378. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Where is Blake Broukhim located?

Blake Broukhim practices at 10614 Riverside Dr, North Hollywood, CA 91602. The listed phone number is (818) 755-6070.

What is Blake Broukhim's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Is Blake Broukhim enrolled in Medicare?

Yes. Blake Broukhim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blake Broukhim was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.