Frederick a Boghossian MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

FREDERICK A BOGHOSSIAN MD INC

Practice address

1560 E Chevy Chase Dr
Suite #320
Glendale, CA 91206-4197

Phone

(818) 241-0300

Fax

(818) 241-0333

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Asya Boghossian

Title

Administrator

Phone

(818) 241-0300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Frederick A Boghossian, M.D.

  • Gastroenterology Physician
  • Glendale, CA
  • NPI 1841303849
  Medicare reassignment NPD

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1154517225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DR",
            "address_2": "SUITE #320",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064197",
            "telephone_number": "818-241-0300",
            "fax_number": "818-241-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DR",
            "address_2": "SUITE #320",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064197",
            "telephone_number": "818-241-0300",
            "fax_number": "818-241-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK A BOGHOSSIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "BOGHOSSIAN",
        "authorized_official_first_name": "ASYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-241-0300"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Franks, PSYD
• Alice Frausto, M.D.
• Hannah Lynn Frazee, AMFT
• Summer McGraw Frazier, M.D.
• Fred Lim, M.D., Inc
• Adam Randall Frederick, M.D.
• Morganna Louise Freeman, D.O.
• Ashley Fregoso
• Moshe I Freiberg, M.D.
• Fresenius Medical Care Glendale, LLC

• Gastroenterology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.