Individual provider Active NPI

Armen Kazanchian, M.D.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1235359845
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A053993 Issued in CA
Practice address
1101 N Pacific Ave
Suite # 103
Glendale, CA 91202-3250
Phone
(818) 247-7447
Fax
(818) 247-1484
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A053993 CA Primary

Addresses

Primary practice location

1101 N Pacific Ave
Suite # 103
Glendale, CA 91202-3250

Mailing address

1101 N Pacific Ave
Suite # 103
Glendale, CA 91202-3250
Phone (818) 247-7447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53993CAMDMarriage & Family Therapist
A053993CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Medical Center, Inc. Internal Medicine Current Accepting new patients
Eclipse Home Health Care Inc PastSince Sep 10, 2009 Accepting new patients

Locations

1101 N Pacific Ave
Ste 103
Glendale, CA 91202
Phone (818) 247-7447

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1235359845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE",
            "address_2": "SUITE # 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023250",
            "telephone_number": "818-247-7447",
            "fax_number": "818-247-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE",
            "address_2": "SUITE # 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023250",
            "telephone_number": "818-247-7447",
            "fax_number": "818-247-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZANCHIAN",
        "first_name": "ARMEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A053993",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 3, 2011; 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.