Organization Active NPI

Raffi Malkounian DDS, Inc.

  • Dental Clinic/Center
  • Pasadena, CA
National Provider Identifier
1235284118
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
45144 Issued in CA
Legal business name
RAFFI MALKOUNIAN DDS, INC.
Practice address
1720 E. Washington Blvd. Suite # 200
Pasadena, CA 91104-3161
Phone
(626) 794-0620
NPI assigned
Jan 24, 2007
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Raffi MalkounianNPI 1871793620
Title
President
Phone
(626) 794-0620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 45144 CA Primary

Addresses

Primary practice location

1720 E. Washington Blvd. Suite # 200
Pasadena, CA 91104-3161

Mailing address

1720 E. Washington Blvd. Suite # 200
Pasadena, CA 91104-3161
Phone (626) 794-0620

National Provider Directory

National Provider Directory

Locations

1720 E Washington Blvd
Ste 200
Pasadena, CA 91104
Phone (626) 794-0620

Practitioners & affiliated clinicians

Practitioners 1

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1235284118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E. WASHINGTON BLVD. SUITE # 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043161",
            "telephone_number": "626-794-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E. WASHINGTON BLVD. SUITE # 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043161",
            "telephone_number": "626-794-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI MALKOUNIAN DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "MALKOUNIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-794-0620"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "45144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.