Organization Active NPI

Alber K. Karamanoukian Medical Clinic, Inc.

  • Ambulatory Surgical Clinic/Center
  • Glendale, CA
National Provider Identifier
1124454376
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ALBER K. KARAMANOUKIAN MEDICAL CLINIC, INC.
Doing business as
Glendale St. Mary's Surgical Center
Practice address
810 S. Central Avenue
Suite 100
Glendale, CA 91204
Phone
(818) 242-6173
Fax
(818) 242-6799
NPI assigned
Sep 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Alber Karamanoukian, MDNPI 1578892808
Title
Medical Director
Phone
(818) 242-6173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

810 S. Central Avenue
Suite 100
Glendale, CA 91204

Mailing address

810 S. Central Avenue
Suite 100
Glendale, CA 91204
Phone (818) 242-6173

Other names 1

  • Glendale St. Mary's Surgical Center Doing business as

National Provider Directory

National Provider Directory

Locations

810 S Central Ave
Ste 100
Glendale, CA 91204
Phone (818) 242-6173

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1124454376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S. CENTRAL AVENUE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-242-6173",
            "fax_number": "818-242-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S. CENTRAL AVENUE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-242-6173",
            "fax_number": "818-242-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBER K. KARAMANOUKIAN MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "KARAMANOUKIAN",
        "authorized_official_first_name": "ALBER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-242-6173",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale St. Mary's Surgical Center",
            "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 23, 2014; 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.