Active NPI
Nazareth E Darakjian MD
- Eyewear Supplier
- Los Angeles, CA
National Provider Identifier
1306016357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- G44736
- Legal business name
- NAZARETH E DARAKJIAN MD
- Practice address
- 5101 Santa Monica Blvd
Suite 4a
Los Angeles, CA 90029-2478 - Phone
- (323) 665-5572
- Fax
- (323) 665-5579
- NPI assigned
- Mar 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nazareth E Darakjian, M.D.
- Title
- Owner
- Phone
- (323) 665-5572
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | G44736 | CA | Primary |
Addresses
Primary practice location
5101 Santa Monica Blvd
Suite 4a
Los Angeles, CA 90029-2478
Mailing address
5101 Santa Monica Blvd
Suite 4a
Los Angeles, CA 90029-2478
Phone (323) 665-5572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G447361 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
5101 Santa Monica Blvd
Ste 4A
Los Angeles, CA 90029
Phone (323) 665-5572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1306016357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 SANTA MONICA BLVD",
"address_2": "SUITE 4A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292478",
"telephone_number": "323-665-5572",
"fax_number": "323-665-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 SANTA MONICA BLVD",
"address_2": "SUITE 4A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292478",
"telephone_number": "323-665-5572",
"fax_number": "323-665-5579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAZARETH E DARAKJIAN MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "DARAKJIAN",
"authorized_official_first_name": "NAZARETH",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-665-5572",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "CA",
"license": "G44736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G447361",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.