Organization Active NPI

Amaiak Chilingaryan, M.D., Inc

  • Neurology Physician
  • Glendale, CA
National Provider Identifier
1194062133
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A113714 Issued in CA
Legal business name
AMAIAK CHILINGARYAN, M.D., INC
Practice address
800 S Central Ave
307
Glendale, CA 91204-4370
Phone
(818) 646-1414
Fax
(818) 646-1441
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Mr. Amaiak Chilingaryan, M.D.NPI 1134433568
Title
President
Phone
(818) 646-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A113714 CA Primary

Addresses

Primary practice location

800 S Central Ave
307
Glendale, CA 91204-4370

Mailing address

800 S Central Ave
307
Glendale, CA 91204-4370
Phone (818) 646-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130628000232 CA Part B Supplier - Clinic/Group Practice 0648410498 Receives reassigned benefits from 3 practitioners
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

800 S Central Ave
#307
Glendale, CA 91204
Phone (818) 646-1414

800 S Central Ave
Ste 307
Glendale, CA 91204
Phone (818) 396-0917

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1194062133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE",
            "address_2": "307",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044370",
            "telephone_number": "818-646-1414",
            "fax_number": "818-646-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE",
            "address_2": "307",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044370",
            "telephone_number": "818-646-1414",
            "fax_number": "818-646-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAIAK CHILINGARYAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "CHILINGARYAN",
        "authorized_official_first_name": "AMAIAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-646-1414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A113714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.