Arman Petrosyan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51129 Issued in CA

Practice address

1009 Glenoaks Blvd
San Fernando, CA 91340-1436

Phone

(818) 361-3889

Fax

(818) 361-6280

NPI assigned

Feb 13, 2007

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arman Petrosyan D.D.S. Inc

  • Dentist
  • San Fernando, CA
  • NPI 1699968149
  NPD Authorized official
• Afshin Mazdeyasnan DDS Inc

  dba California Dental Office of Afshin Mazdeysnan DDS Inc

  • General Practice Dentistry
  • San Fernando, CA
  • NPI 1427110873
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1285776245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W LEXINGTON DR UNIT D",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032754",
            "telephone_number": "213-448-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 GLENOAKS BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401436",
            "telephone_number": "818-361-3889",
            "fax_number": "818-361-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSYAN",
        "first_name": "ARMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Perdomo
• Ash Perez
• Maria Perez
• Maria Perez, RBT
• Regina M. Petrella
• Marianna Tovmasyan Petrosyan, O.D.
• Pharmamed Inc. (O2 Plus)
• Roman Pickett
• Mykie Pidor, MD
• Preferred Care Hospice, Inc.

• General Practice Dentistry in San Fernando, CA
• Providers in San Fernando, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.