Organization Active NPI

Nazareth E Darakjian MD

  • Eyewear Supplier
  • Los Angeles, CA
National Provider Identifier
1306016357
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
G44736 Issued in CA
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

Updated by the provider on Mar 6, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G447361MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.