Jivan Melikian M D. Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A45112 Issued in CA

Legal business name

JIVAN MELIKIAN M D. INC

Practice address

1530 E Chevy Chase Dr
Suite 206
Glendale, CA 91206-4163

Phone

(818) 546-8644

Fax

(818) 546-2494

NPI assigned

May 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jivan Melikian, M.D.NPI 1285705905

Title

Physician

Phone

(818) 546-8644

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jivan Melikian, M.D.

  • Cardiovascular Disease Physician
  • Glendale, CA
  • NPI 1285705905
  Medicare reassignment NPD Authorized official
• Valentine Melikian, D.C.

  • Chiropractor
  • Glendale, CA
  • NPI 1003900408
  NPD (past)

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1104118389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E CHEVY CHASE DR",
            "address_2": "SUITE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064163",
            "telephone_number": "818-546-8644",
            "fax_number": "818-546-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E CHEVY CHASE DR",
            "address_2": "SUITE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064163",
            "telephone_number": "818-546-8644",
            "fax_number": "818-546-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIVAN MELIKIAN M D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "MELIKIAN",
        "authorized_official_first_name": "JIVAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-546-8644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A45112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A45112",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A45112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jovencio Jimenez III, DPT
• Susana Jimenez
• Syuzanna Jinanyan, NP
• Jittima Jirasetpatana, D.P.M.
• Jittima Jirasetpatana
• JJ&R Emergency Medical Group of California, Inc.
• JL Home Health Care, Inc.
• Joana Tamayo MD Inc
• Joanna Mary Saporito, Licensed Clinical Social Worker a Prof Corp
• Arnel Joaquin, M.D.

• Cardiovascular Disease Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.