Dr Marcia Asgarian Inc

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

18390 Issued in CA

Legal business name

DR MARCIA ASGARIAN INC

Practice address

755 S Fairmont Ave
Lodi, CA 95240-4643

Phone

(209) 625-9409

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Asgarian, MD

Title

Director

Phone

(209) 625-9409

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1104336064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2655",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952412655",
            "telephone_number": "209-625-9409",
            "fax_number": "844-308-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952404643",
            "telephone_number": "209-625-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARCIA ASGARIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "ASGARIAN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-625-9409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "18390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "1063636645",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald E Hunneshagen M D Inc & Michael Ketelaar M D PTR Hunneshagen DO
• Caroline Cathleen Dornbush, RDHAP
• George V Dous
• Eliza R Downs, P.T.
• Linda Downum, PHARMD
• Dr. Sean M. Collins
• Dr.Lance E Turner DDS Inc
• Dragonfly Senior Living, Inc.
• DRS. M. Hoff, J. Hoff, Gayagoy and Shukla
• Kristina Dulcey-Wang, PH.D.

• Cognitive & Behavioral Psychologist in Lodi, CA
• Providers in Lodi, CA by specialty
• Cognitive & Behavioral Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.