Active NPI
Alex Antonian, RRT
- Pulmonary Rehabilitation Certified Respiratory Therapist
- Burbank, CA
National Provider Identifier
1104584432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Rehabilitation Certified Respiratory Therapist
- License
- 39689
- Practice address
- 920 W Alameda Ave
Burbank, CA 91506-2802 - Phone
- (818) 842-9277
- Fax
- (818) 579-2960
- NPI assigned
- Dec 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Rehabilitation Certified Respiratory Therapist | 2278P1005X | 39689 | CA | Primary |
Addresses
Primary practice location
920 W Alameda Ave
Burbank, CA 91506-2802
Mailing address
920 W Alameda Ave
Burbank, CA 91506-2802
Phone (818) 842-9277
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | 1btc@sbcglobal.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39689 | CA | MD | Pulmonary Rehabilitation Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuznz LTD Burbank Therapy Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Burbank, CA
- NPI 1750491973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1104584432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 W ALAMEDA AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062802",
"telephone_number": "818-842-9277",
"fax_number": "818-579-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W ALAMEDA AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062802",
"telephone_number": "818-842-9277",
"fax_number": "818-579-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONIAN",
"first_name": "ALEX",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-03",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2278P1005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
"state": "CA",
"license": "39689",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "1btc@sbcglobal.net",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "920 W Alameda Ave",
"city": "Burbank",
"state": "CA",
"country_code": "US",
"postal_code": "915062802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.