Marine Pogosyan

Primary specialty

DriverTaxonomy code 172A00000X

License

343900000X Issued in CA

Practice address

1527 Rock Glen Ave Apt 101
Glendale, CA 91205-4321

Phone

(213) 700-8228

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medex

  • Non-emergency Medical Transport (VAN)
  • Glendale, CA
  • NPI 1871160788
  NPD Authorized official

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1164099040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 ROCK GLEN AVE APT 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054321",
            "telephone_number": "213-700-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 ROCK GLEN AVE APT 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054321",
            "telephone_number": "213-700-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGOSYAN",
        "first_name": "MARINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P4000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Patient Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON EMERGENCY TRANSPORT",
            "identifier": "343900000X",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32-0651700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andranik Poghosyan, M.D.
• Lilit Poghosyan
• Ani Pogosian
• Jacob R Pogosian
• Edgar Pogossian
• Zhanna Pogosyan, M.A., BCBA
• Gerald M. Pohost, MD
• Polar Bear Home Health Inc.
• Ruth Frank Polcino, LCSW
• Lulette Polintan, OTR/L

• Driver in Glendale, CA
• Providers in Glendale, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.