Organization Active NPI

Tatoyan MD Apc

  • Ambulatory Surgical Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1013458231
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TATOYAN MD APC
Practice address
5651 Sepulveda Blvd Ste 103
Sherman Oaks, CA 91411-2954
Phone
(818) 373-0200
NPI assigned
Mar 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Krikor B Tatoyan, MDNPI 1598936726
Title
Medical Director
Phone
(818) 373-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5651 Sepulveda Blvd Ste 103
Sherman Oaks, CA 91411-2954

Mailing address

5651 Sepulveda Blvd Ste 103
Sherman Oaks, CA 91411-2954
Phone (818) 373-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180608001851 CA Part B Supplier - Clinic/Group Practice 0345595666 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

5651 Sepulveda Blvd
Ste 103
Van Nuys, CA 91411
Phone (818) 373-0200

Practitioners & affiliated clinicians

Practitioners 1

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": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1013458231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD STE 103",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112954",
            "telephone_number": "818-373-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD STE 103",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112954",
            "telephone_number": "818-373-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATOYAN MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "TATOYAN",
        "authorized_official_first_name": "KRIKOR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-373-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.