Organization Active NPI

Karo Isagholian MD Inc

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1194867473
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73825 Issued in CA
Legal business name
KARO ISAGHOLIAN MD INC
Practice address
900 N Pacific Ave
Glendale, CA 91203-3644
Phone
(818) 244-8241
Fax
(818) 244-8260
NPI assigned
Feb 13, 2007
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Karo Isagholian, MDNPI 1326078528
Title
President
Phone
(818) 244-8241

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
Internal Medicine Physician 207R00000X A73825 CA Primary

Addresses

Primary practice location

900 N Pacific Ave
Glendale, CA 91203-3644

Mailing address

900 N Pacific Ave
Glendale, CA 91203-3644
Phone (818) 244-8241

Other identifiers 1

IdentifierTypeStateIssuer
00A738250MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090304000712 CA Part B Supplier - Clinic/Group Practice 7315003027 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1082682Karo Isagholian MD Inc900 N Pacific Ave, Glendale, CA 91203Certificate of waiverApr 15, 2028

National Provider Directory

National Provider Directory

Locations

900 N Pacific Ave
Glendale, CA 91203
Phone (818) 244-8241

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5961/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1194867473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033644",
            "telephone_number": "818-244-8241",
            "fax_number": "818-244-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033644",
            "telephone_number": "818-244-8241",
            "fax_number": "818-244-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARO ISAGHOLIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "ISAGHOLIAN",
        "authorized_official_first_name": "KARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-244-8241",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A738250",
            "state": "CA"
        }
    ],
    "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 Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.