Organization Active NPI

Alexander I. Zamanian,M.D. Inc.a Professional Corporation

  • Exclusive Provider Organization
  • Tustin, CA
National Provider Identifier
1003004268
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
A42243 Issued in CA
Legal business name
ALEXANDER I. ZAMANIAN,M.D. INC.A PROFESSIONAL CORPORATION
Practice address
14642 Newport Ave
Suite 310
Tustin, CA 92780-6057
Phone
(714) 368-0696
Fax
(714) 368-0697
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Dr. Alexander Iraj Zamanian, M.D.
Title
President
Phone
(714) 368-0696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X A42243 CA Primary

Addresses

Primary practice location

14642 Newport Ave
Suite 310
Tustin, CA 92780-6057

Mailing address

14642 Newport Ave
Suite 310
Tustin, CA 92780-6057
Phone (714) 368-0696

National Provider Directory

National Provider Directory

Locations

1160 N Central Ave
Ste 210
Glendale, CA 91202
Phone (818) 240-0006

14642 Newport Ave
Ste 310
Tustin, CA 92780
Phone (714) 273-5309

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1003004268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE 310",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806057",
            "telephone_number": "714-368-0696",
            "fax_number": "714-368-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE 310",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806057",
            "telephone_number": "714-368-0696",
            "fax_number": "714-368-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER I. ZAMANIAN,M.D. INC.A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "ZAMANIAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "IRAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-368-0696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A42243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.