Active NPI
Orthopaedic Surgery Specialists Burbank
- Physical Medicine & Rehabilitation Physician
- Glendale, CA
National Provider Identifier
1053939546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
- Practice address
- 1300 S Central Ave
Glendale, CA 91204-2506 - Phone
- (818) 579-2395
- Fax
- (818) 579-2396
- NPI assigned
- Jul 10, 2020
- Organization subpart
- Yes
- Parent organization
- ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahan Vahe Yacoubian, MD
- Title
- Director/Officer
- Phone
- (818) 841-3936
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Hand Occupational Therapist | 225XH1200X |
Addresses
Primary practice location
1300 S Central Ave
Glendale, CA 91204-2506
Mailing address
2625 W Alameda Ave Ste 116
Burbank, CA 91505-4815
Phone (818) 841-3936
National Provider Directory
National Provider Directory- Part of
- Orthopaedic Surgery Spec
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594339200000",
"number": "1053939546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 W ALAMEDA AVE STE 116",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054815",
"telephone_number": "818-841-3936",
"fax_number": "818-841-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042506",
"telephone_number": "818-579-2395",
"fax_number": "818-579-2396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDIC SURGERY SPECIALISTS BURBANK",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHOPAEDIC SURGERY SPECIALISTS BURBANK",
"enumeration_date": "2020-07-10",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A",
"authorized_official_last_name": "YACOUBIAN",
"authorized_official_first_name": "SHAHAN",
"authorized_official_middle_name": "VAHE",
"authorized_official_title_or_position": "DIRECTOR/OFFICER",
"authorized_official_telephone_number": "818-841-3936",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.