Garo M. Tertzakian, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C37346 Issued in CA

Legal business name

GARO M. TERTZAKIAN, M.D., INC.

Practice address

1801 N Broadway
Santa Ana, CA 92706-2607

Phone

(714) 639-1915

Fax

(714) 824-6896

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Garo M. Tertzakian, M.D.NPI 1699786400

Title

President

Phone

(714) 639-1915

Specialties & licenses 1

Addresses

Other names 1

• Associated Urologists of Orange County Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Garo M. Tertzakian

  • Urology Physician
  • Santa Ana, CA
  • NPI 1699786400
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1235336397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062607",
            "telephone_number": "714-639-1915",
            "fax_number": "714-824-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062607",
            "telephone_number": "714-639-1915",
            "fax_number": "714-824-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARO M. TERTZAKIAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "TERTZAKIAN",
        "authorized_official_first_name": "GARO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-639-1915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C37346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Urologists of Orange County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Garibay
• Tania Garibay
• Gabriela Garita Salas
• Thomas Garland
• Alondra Garnica
• Denton Garo, POLYSOMNOGRAPHY TECH
• Frank Anthony Garofalo, DC
• Kay Frances Garrett, PH.D.
• Mallory Garrett
• Patsy Garrett

• Specialist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.