Active NPI
Hamlet Charmahali Garabedian, DMD, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Glendale, CA
National Provider Identifier
1316081623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 95221
- Practice address
- 242 N Glendale Ave
Glendale, CA 91206-4454 - Phone
- (818) 484-8939
- Fax
- (818) 649-1207
- NPI assigned
- Feb 19, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI02285600 | NJ | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 13299 | MD | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | OMS72 | CA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 25MA08020700 | NJ | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 95221 | CA | Primary |
Addresses
Primary practice location
242 N Glendale Ave
Glendale, CA 91206-4454
Mailing address
242 N Glendale Ave
Glendale, CA 91206-4454
Phone (818) 484-8939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G0945A | Other | CA | PTAN |
Other names 1
- Dr. Hamlet Charmahali
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Harvard School of Dental Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
242 N Glendale Ave
Glendale, CA 91206-4454
Phone (818) 484-8939
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OMS72 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 13299 | MD | MD | Oral and Maxillofacial Surgery (Dentist) |
| 22DI02285600 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
| 95221 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 25MA08020700 | NJ | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Glendale, CA
- NPI 1841577517
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Glendale
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1316081623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 N GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064454",
"telephone_number": "818-484-8939",
"fax_number": "818-649-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 N GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064454",
"telephone_number": "818-484-8939",
"fax_number": "818-649-1207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARABEDIAN",
"first_name": "HAMLET",
"middle_name": "CHARMAHALI",
"name_prefix": "Dr.",
"credential": "DMD, MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "22DI02285600",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MD",
"license": "13299",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "OMS72",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NJ",
"license": "25MA08020700",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "CA",
"license": "95221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "G0945A",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HAMLET",
"last_name": "CHARMAHALI",
"prefix": "DR.",
"credential": "DMD, MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 28, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.