Astrik Davtian, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A54092 Issued in CA

Practice address

222 W Eulalia St
301
Glendale, CA 91204-2849

Phone

(818) 240-0108

Fax

(818) 240-0301

NPI assigned

May 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• A.Davtian M.D. Medical Services Inc.

  • Multi-Specialty Clinic/Center
  • Glendale, CA
  • NPI 1356392344
  Medicare reassignment NPD
• Medical and Behavioral Health Associates

  • Clinical Psychologist
  • Glendale, CA
  • NPI 1528372125
  NPD Authorized official
• Mission City Community Network, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, CA
  • NPI 1710102009
  NPD (past)
• Mission City Community Network, Inc.

  • Community Health Clinic/Center
  • North Hills, CA
  • NPI 1710370747
  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184675175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-240-0108",
            "fax_number": "818-240-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-240-0108",
            "fax_number": "818-240-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVTIAN",
        "first_name": "ASTRIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A540920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylon Andrew Davison
• Sarine Davityan
• Jouliana Davoudi Chegani
• Annette Davoudian, PHARMD
• Arakel Davtian, MD
• Adanna Davtyan
• Anita Davtyan
• David Grigor Davtyan, MD
• Douglas A Daws, D.D.S.
• Day & Nite Care @ Home, Inc.

• Internal Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.