Active NPI
RST Medical Inc
- Adult Medicine Physician
- Reseda, CA
National Provider Identifier
1184234791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- RST MEDICAL INC
- Practice address
- 18040 Sherman Way Ste 210
Reseda, CA 91335-4656 - Phone
- (818) 796-2920
- NPI assigned
- Aug 7, 2020
- Last updated
- Aug 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tallin Martirossian, PA-C
- Title
- Ceo/PA-C
- Phone
- (623) 760-7740
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary | ||
| Home Infusion Agency | 251F00000X | |||
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Occupational Medicine Clinic/Center | 261QX0100X |
Addresses
Primary practice location
18040 Sherman Way Ste 210
Reseda, CA 91335-4656
Mailing address
12272 Willowbend LN
Sylmar, CA 91342-5150
Phone (623) 760-7740
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Burbank, CA
- NPI 1831608165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596758400000",
"number": "1184234791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12272 WILLOWBEND LN",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913425150",
"telephone_number": "623-760-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18040 SHERMAN WAY STE 210",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354656",
"telephone_number": "818-796-2920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RST MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A",
"authorized_official_last_name": "MARTIROSSIAN",
"authorized_official_first_name": "TALLIN",
"authorized_official_title_or_position": "CEO/PA-C",
"authorized_official_telephone_number": "623-760-7740",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop",
"affiliation": "N",
"endpointDescription": "desk top",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "18040 Sherman Way Ste 210",
"city": "Reseda",
"state": "CA",
"country_code": "US",
"postal_code": "913354656",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.