Armen Manssourian, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45916 Issued in CA

Practice address

915 W Lancaster Blvd
Lancaster, CA 93534-2305

Phone

(661) 942-1124

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1225241458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 SAINT ELIZABETH RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061228",
            "telephone_number": "818-790-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W LANCASTER BLVD",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342305",
            "telephone_number": "661-942-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSSOURIAN",
        "first_name": "ARMEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Manning, M.D.
• Linda C Manning, R.N., N.P.
• Simarjeet Singh Manocha, PA-C
• Manorama S. Chowdhry MD., Inc.
• Monica Lanette Manson
• Nelly Mantizian
• Jessica Marchany
• Jerome C Marcos, NP
• Michael Brandon Marcus, MD
• Ma Guadalupe Marentes Vargas

• General Practice Dentistry in Lancaster, CA
• Providers in Lancaster, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.