Tavitian Gastroenterology Medical Group Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

TAVITIAN GASTROENTEROLOGY MEDICAL GROUP INC.

Practice address

801 South Chevy Chase Drive #102
Glendale, CA 91205

Phone

(818) 242-8916

Fax

(818) 241-7708

NPI assigned

Apr 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ara Tavitian, M.D.

Title

Owner

Phone

(818) 242-8916

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215992367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SOUTH CHEVY CHASE DRIVE #102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-242-8916",
            "fax_number": "818-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SOUTH CHEVY CHASE DRIVE #102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-242-8916",
            "fax_number": "818-241-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAVITIAN GASTROENTEROLOGY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAVITIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-242-8916",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taubenfeld Psychological Services
• Wayne A. Taubenfeld, PH.D.
• Tavakalyan Podiatry PC
• Julissa Marie Gutierrez Tavarez
• Lilit Tavatyan, NP
• Ara Tavitian, MD
• Armineh Tavitian, M.D.
• Avedis Tavitian, M.D.
• Lim L Taw, M.D.
• Jennifer J Tayko

• Gastroenterology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.