Organization Active NPI

General Medical

  • Private Vehicle
  • Glendale, CA
National Provider Identifier
1013297639
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
GENERAL MEDICAL
Practice address
1160 N Central Ave Ste 203
Glendale, CA 91202-3065
Phone
(818) 482-9567
NPI assigned
Aug 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Gagik Joey Mkhitaryan
Title
Director of Transportation
Phone
(818) 482-9567

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X
Land Ambulance 3416L0300X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

1160 N Central Ave Ste 203
Glendale, CA 91202-3065

Mailing address

1160 N Central Ave Ste 203
Glendale, CA 91202-3065
Phone (818) 482-9567

National Provider Directory

National Provider Directory

Locations

1160 N Central Ave
Ste 203
Glendale, CA 91202
Phone (818) 482-9567

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1013297639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N CENTRAL AVE STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023065",
            "telephone_number": "818-482-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N CENTRAL AVE STE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023065",
            "telephone_number": "818-482-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "MKHITARYAN",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_middle_name": "JOEY",
        "authorized_official_title_or_position": "DIRECTOR OF TRANSPORTATION",
        "authorized_official_telephone_number": "818-482-9567"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.