Individual provider Active NPI

Agasi Ohanyan

  • Private Vehicle
  • Rocklin, CA
National Provider Identifier
1275019085
Registry record updated Jul 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
8BKM522 Issued in CA
Practice address
1412 Sandhill Dr
Rocklin, CA 95765-5801
Phone
(916) 770-6463
NPI assigned
Jul 15, 2018
Last updated
Jul 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 8BKM522 CA Primary

Addresses

Primary practice location

1412 Sandhill Dr
Rocklin, CA 95765-5801

Mailing address

1412 Sandhill Dr
Rocklin, CA 95765-5801
Phone (916) 770-6463

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

LicenseStateTypeSpecialty
8BKM522CAMDPrivate Vehicle

Practice roles

OrganizationSpecialtyStatusNew patients
Agasi Ohanyan Private Vehicle Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531612800000",
    "number": "1275019085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SANDHILL DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655801",
            "telephone_number": "916-770-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SANDHILL DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655801",
            "telephone_number": "916-770-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHANYAN",
        "first_name": "AGASI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-15",
        "last_updated": "2018-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": "8BKM522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2018; 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.