Active NPI
Anna Djabourian
- Contractor
- Covina, CA
National Provider Identifier
1154756609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 47776
- Practice address
- 145 E Rowland St
Suite B
Covina, CA 91723-3071 - Phone
- (626) 437-3747
- Fax
- (626) 858-9767
- NPI assigned
- Sep 3, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 47776 | CA | Primary |
Addresses
Primary practice location
145 E Rowland St
Suite B
Covina, CA 91723-3071
Mailing address
145 E Rowland St
Suite B
Covina, CA 91723-3071
Phone (626) 437-3747
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47776 | CA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1154756609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 E ROWLAND ST",
"address_2": "SUITE B",
"city": "COVINA",
"state": "CA",
"postal_code": "917233071",
"telephone_number": "626-437-3747",
"fax_number": "626-858-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 E ROWLAND ST",
"address_2": "SUITE B",
"city": "COVINA",
"state": "CA",
"postal_code": "917233071",
"telephone_number": "626-437-3747",
"fax_number": "626-858-9767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DJABOURIAN",
"first_name": "ANNA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "47776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.