Active NPI
Anton Pavlov
- Registered Record Administrator
- Burbank, CA
National Provider Identifier
1295291607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Record Administrator
- Practice address
- 640 N Keystone St Ste B
Burbank, CA 91506-1900 - Phone
- (818) 846-8666
- Fax
- (818) 846-8665
- NPI assigned
- Feb 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Record Administrator | 246YR1600X | Primary |
Addresses
Primary practice location
640 N Keystone St Ste B
Burbank, CA 91506-1900
Mailing address
640 N Keystone St Ste B
Burbank, CA 91506-1900
Phone (818) 846-8666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F5344662 | Other | CA | DRIVER LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1295291607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 N KEYSTONE ST STE B",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061900",
"telephone_number": "818-846-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 N KEYSTONE ST STE B",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061900",
"telephone_number": "818-846-8666",
"fax_number": "818-846-8665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLOV",
"first_name": "ANTON",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "246YR1600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information, Registered Record Administrator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "F5344662",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.