Alexander G Gevorgyan MD Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

ALEXANDER G GEVORGYAN MD INC

Practice address

23928 Lyons Ave Ste 102
Santa Clarita, CA 91321-2452

Phone

(661) 222-2326

Fax

(661) 222-9444

NPI assigned

Feb 23, 2023

Organization subpart

No

Name

Dr. Alexander Gevorgyan, MDNPI 1346504628

Title

President

Phone

(818) 649-9232

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Alexander G Gevorgyan MD Inc

  • Medical Specialty Clinic/Center
  • Glendale, CA
  • NPI 1699289660

  O20180109001632

  Same enrollment

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

• Alexander G. Gevorgyan, M.D.

  • Clinical Neurophysiology Physician
  • Glendale, CA
  • NPI 1346504628
  NPD Authorized official
• Victoria Gevorgyan, MD

  • Rheumatology Physician
  • Los Angeles, CA
  • NPI 1417441494

  Neurology

  NPD
• Rita Misakyan, NP

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1972292761
  NPD

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

• Neurospine Centers Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2023.

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1245939719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053349",
            "telephone_number": "818-649-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23928 LYONS AVE STE 102",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212452",
            "telephone_number": "661-222-2326",
            "fax_number": "661-222-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER G GEVORGYAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-649-9232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A133154",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurospine Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Alas
• Julio Albores
• Paula Alday
• Celina Aldeschulte, AMFT
• Briseida Edith Aleman, PMHNP-BC
• Cynthia Alfaro, MA
• Algos Inc., a Medical Corporation
• Naheed Ali, LCSW
• Chloe Alkadri
• Sara Alkhouli

• All providers in Santa Clarita, CA
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.