Organization Active NPI

Artoon Arakel MD Professional Corporation

  • Specialist
  • Glendale, CA
National Provider Identifier
1285750372
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A49849 Issued in CA
Legal business name
ARTOON ARAKEL MD PROFESSIONAL CORPORATION
Practice address
1030 S Glendale Ave Ste 407
Glendale, CA 91205-2866
Phone
(818) 543-7553
Fax
(818) 543-0985
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Dr. Artoon Arakel, M.D.NPI 1659484566
Title
President
Phone
(818) 543-7553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A49849 CA Primary

Addresses

Primary practice location

1030 S Glendale Ave Ste 407
Glendale, CA 91205-2866

Mailing address

1030 S Glendale Ave Ste 407
Glendale, CA 91205-2866
Phone (818) 543-7553

Other identifiers 2

IdentifierTypeStateIssuer
1659484566OtherCAPHYSICIAN'S NPI
00A498491MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080610000302 CA Part B Supplier - Clinic/Group Practice 2264502707 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

1030 S Glendale Ave
Ste 407
Glendale, CA 91205
Phone (818) 543-7553

210 N Central Ave
Ste 210
Glendale, CA 91203
Phone (818) 242-0439

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1285750372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 407",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-543-7553",
            "fax_number": "818-543-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 407",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-543-7553",
            "fax_number": "818-543-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTOON ARAKEL MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "ARAKEL",
        "authorized_official_first_name": "ARTOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-543-7553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A49849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S NPI",
            "identifier": "1659484566",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A498491",
            "state": "CA"
        }
    ],
    "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 Jun 8, 2015; 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.