Individual provider Active NPI

Naira Sargsyan

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1023637337
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A21427 Issued in CA
Practice address
519 E Broadway
Glendale, CA 91205-1110
Phone
(818) 409-3020
Fax
(818) 243-2713
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A21427 CA Primary

Addresses

Primary practice location

519 E Broadway
Glendale, CA 91205-1110

Mailing address

519 E Broadway
Glendale, CA 91205-1110
Phone (818) 409-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810001357 CA Practitioner - Family Practice 4183023773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A21427CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Jul 26, 2023 Accepting new patients
All for Health Health for All Inc Current Accepting new patients
Family Practice of Glendale a Medical Corporation Family Medicine PastSince Apr 1, 2020 Accepting new patients

Locations

5855 Capistrano Ave
Ste D
Atascadero, CA 93422
Phone (805) 466-5600

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

801 S Chevy Chase Dr
Ste 201
Glendale, CA 91205
Phone (818) 500-5535

2048 Montrose Ave
Montrose, CA 91020
Phone (818) 957-2224

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: naira.sargsyando.p1@direct.afh.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1023637337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051110",
            "telephone_number": "818-409-3020",
            "fax_number": "818-243-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051110",
            "telephone_number": "818-409-3020",
            "fax_number": "818-243-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGSYAN",
        "first_name": "NAIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A21427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.