Active NPI
Armen Galustian
- Dentist
- Reseda, CA
National Provider Identifier
1154720274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63787
- Practice address
- 19513 Schoolcraft St
Reseda, CA 91335 - Phone
- (818) 605-3368
- NPI assigned
- Aug 14, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 63787 | CA | Primary |
Addresses
Primary practice location
19513 Schoolcraft St
Reseda, CA 91335
Mailing address
19513 Schoolcraft St
Reseda, CA 91335-3634
Phone (818) 605-3368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160119000289 | CA | Order and Referring Only - Dentist | 5991008369 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6787 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1154720274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19513 SCHOOLCRAFT ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353634",
"telephone_number": "818-605-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19513 SCHOOLCRAFT ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "91335",
"telephone_number": "818-605-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALUSTIAN",
"first_name": "ARMEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.