Individual provider Active NPI

Zareh John Ounjian, MD

  • Diagnostic Radiology Physician
  • Whittier, CA
National Provider Identifier
1104809169
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G22927 Issued in CA
Practice address
12401 East Washington Blvd
Hosp-Radiology Dept Presbyterian Intercommunity
Whittier, CA 90602-1006
Phone
(562) 698-0811
Fax
(562) 306-8200
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G22927 CA Primary

Addresses

Primary practice location

12401 East Washington Blvd
Hosp-Radiology Dept Presbyterian Intercommunity
Whittier, CA 90602-1006

Mailing address

P.O. Box 511228
Los Angeles, CA 90051-2997
Phone (562) 698-0811

Other identifiers 2

IdentifierTypeStateIssuer
1104809169MedicaidCA
00G229270OtherCABS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G22927CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memrad Medical Group Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1104809169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 511228",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900512997",
            "telephone_number": "562-698-0811",
            "fax_number": "562-309-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 EAST WASHINGTON BLVD",
            "address_2": "HOSP-RADIOLOGY DEPT PRESBYTERIAN INTERCOMMUNITY",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006",
            "telephone_number": "562-698-0811",
            "fax_number": "562-306-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUNJIAN",
        "first_name": "ZAREH",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G22927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104809169",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "00G229270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.