Active NPI
Razmik Galustian, D.D.S., M.S.
- Periodontics
- North Hollywood, CA
National Provider Identifier
1184060915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 61158
- Practice address
- 10400 Magnolia Blvd
North Hollywood, CA 91601-4108 - Phone
- (818) 665-8356
- NPI assigned
- May 20, 2013
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 61158 | CA | Primary |
Addresses
Primary practice location
10400 Magnolia Blvd
North Hollywood, CA 91601-4108
Mailing address
5610 Wish Ave
Encino, CA 91316-1408
Phone (818) 665-8356
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 |
|---|---|---|---|---|
| I20160215000973 | CA | Order and Referring Only - Dentist | 0345544151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1184060915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 WISH AVE",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161408",
"telephone_number": "818-665-8356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 MAGNOLIA BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916014108",
"telephone_number": "818-665-8356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALUSTIAN",
"first_name": "RAZMIK",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-20",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "61158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.