NPIMap

Organization Active NPI

All-Inclusive Community Health Center

  • Primary Care Clinic/Center
  • Burbank, CA
National Provider Identifier
1093019051
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ALL-INCLUSIVE COMMUNITY HEALTH CENTER
Practice address
1311 N San Fernando Blvd
Burbank, CA 91504-4236
Phone
(818) 843-9900
Fax
(818) 843-9909
NPI assigned
Jan 5, 2011
Last updated
Nov 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Mrs. Marine Dzhgalyan
Title
Ceo
Phone
(818) 843-9900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X CA
Federally Qualified Health Center (FQHC) 261QF0400X NU
Primary Care Clinic/Center 261QP2300X CA Primary

Addresses

Primary practice location

1311 N San Fernando Blvd
Burbank, CA 91504-4236

Mailing address

1311 N San Fernando Blvd
Burbank, CA 91504-4236
Phone (818) 843-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110906000533 CA Part B Supplier - Clinic/Group Practice 5294905006 Receives reassigned benefits from 16 practitioners
2 other NPIs on this enrollment
Practice locations: Burbank, CA; Los Angeles, CA; Northridge, CA
O20130523000074 CA Part A Provider - Federally Qualified Health Center (FQHC) 5294905006 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093019051. Details of each certification follow.

Federally qualified health center certification: CCN 751015

Legal name
ALL-INCLUSIVE COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 23, 2013
Last certification
May 23, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 23, 2010 in CA
Enrollment address
1311 N San Fernando Blvd
Burbank, CA 91504-4236

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2026694All-Inclusive Community Health Center1311 N San Fernando Blvd, Burbank, CA 91504Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory

Locations

17114 Devonshire St
Northridge, CA 91325
Phone (818) 646-1771

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maria Castaneda Individual Corporate DirectorBoard Member Jun 23, 2014
Marine Dzhgalyan Individual Corporate OfficerCeo Dec 18, 2012
W-2 Managing EmployeeCeo Dec 18, 2012
Giovanni Rodriguez Individual Corporate DirectorBoard Member Jun 23, 2014
Aida Peralta Individual Corporate DirectorBoard Member Nov 28, 2011
Araik Gukasyan Individual Corporate DirectorBoard Chair Jan 3, 2011
Mariam Kuregyan Individual Corporate DirectorBoard Member Nov 28, 2011
All-Inclusive Community Health Center Organization, Burbank, CA Non-profit Operational/Managerial Control Dec 18, 2012
Kristina Atalaryan Individual Corporate DirectorBoard Member Aug 28, 2014
Jannett Garibian Individual Corporate DirectorBoard Member Jan 7, 2011
Parantzem Hairapetian Individual Corporate DirectorBoard Member Jan 7, 2011
Marlene Sanchez Individual Corporate DirectorBoard Member Sep 1, 2015

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
All-Inclusive Community Health CenterLos Angeles, CA, CCN 751834 Federally qualified health center 5% Or Greater Security Interest (100%) Dec 1, 2015
All-Inclusive Community Health CenterNorthridge, CA, CCN 921887 Federally qualified health center 5% Or Greater Direct Ownership Interest Jan 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1093019051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044236",
            "telephone_number": "818-843-9900",
            "fax_number": "818-843-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N SAN FERNANDO BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044236",
            "telephone_number": "818-843-9900",
            "fax_number": "818-843-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL-INCLUSIVE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "DZHGALYAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-843-9900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.