Active NPI
Vasag H Bouzoghlanian, D.D.S.
- Dentist
- Pasadena, CA
National Provider Identifier
1265602395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56841
- Practice address
- 1060 E Green St
Suite 203
Pasadena, CA 91106-2408 - Phone
- (661) 466-8866
- NPI assigned
- Mar 5, 2008
- Last updated
- Jun 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56841 | CA | Primary |
Addresses
Primary practice location
1060 E Green St
Suite 203
Pasadena, CA 91106-2408
Mailing address
1060 E Green St
Suite 203
Pasadena, CA 91106-2408
Phone (661) 466-8866
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56841 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370649600000",
"number": "1265602395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 E GREEN ST",
"address_2": "SUITE 203",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062408",
"telephone_number": "661-466-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 E GREEN ST",
"address_2": "SUITE 203",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062408",
"telephone_number": "661-466-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUZOGHLANIAN",
"first_name": "VASAG",
"middle_name": "H",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-05",
"last_updated": "2013-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56841",
"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 Jun 8, 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.