Organization Active NPI

Dr. Movses D'Janbatian, OD, Inc.

  • Optometrist
  • Glendale, CA
National Provider Identifier
1053503581
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07776 TPL Issued in CA
Legal business name
DR. MOVSES D'JANBATIAN, OD, INC.
Practice address
330 N Brand Blvd
Suite 110
Glendale, CA 91203-2308
Phone
(818) 241-4921
Fax
(818) 241-0468
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Dr. Movses D'Janbatian, O.D.NPI 1043284359
Title
Owner
Phone
(818) 241-4921

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 07776 TPL CA Primary

Addresses

Primary practice location

330 N Brand Blvd
Suite 110
Glendale, CA 91203-2308

Mailing address

330 N Brand Blvd
Suite 110
Glendale, CA 91203-2308
Phone (818) 241-4921

Other identifiers 1

IdentifierTypeStateIssuer
GSD004330MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110608000212 CA Part B Supplier - Clinic/Group Practice 2466639059 Receives reassigned benefits from 6 practitioners
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1053503581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD",
            "address_2": "SUITE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "818-241-4921",
            "fax_number": "818-241-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD",
            "address_2": "SUITE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "818-241-4921",
            "fax_number": "818-241-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MOVSES D'JANBATIAN, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "D'JANBATIAN",
        "authorized_official_first_name": "MOVSES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-241-4921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "07776 TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004330",
            "state": "CA"
        }
    ],
    "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 7, 2009; 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.