Organization Active NPI

Wanes Barsemian MD Inc

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1114424769
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66186 Issued in CA
Legal business name
WANES BARSEMIAN MD INC
Practice address
1509 Wilson Ter
Glendale, CA 91206-4007
Phone
(818) 859-3482
NPI assigned
Apr 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Wanes Barsemian, MD
Title
Physician - Internal Medicine
Phone
(818) 859-3482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A66186 CA Primary

Addresses

Primary practice location

1509 Wilson Ter
Glendale, CA 91206-4007

Mailing address

3324 Park Vista Dr
La Crescenta, CA 91214-3355
Phone (818) 859-3482

Other names 1

  • Wanes Barsemian MD Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1114424769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 PARK VISTA DR",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143355",
            "telephone_number": "818-859-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 WILSON TER",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064007",
            "telephone_number": "818-859-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANES BARSEMIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "BARSEMIAN",
        "authorized_official_first_name": "WANES",
        "authorized_official_title_or_position": "PHYSICIAN - INTERNAL MEDICINE",
        "authorized_official_telephone_number": "818-859-3482",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wanes Barsemian MD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.