Active NPI
Alexan G. Asatrian, M. D.
- Pain Clinic/Center
- Los Angeles, CA
National Provider Identifier
1316190663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- A37404
- Practice address
- 4040 Braeburn Way
Los Angeles, CA 90027-1308 - Phone
- (323) 660-4134
- Fax
- (323) 660-0273
- NPI assigned
- Oct 30, 2008
- 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 |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | A37404 | CA | Primary |
Addresses
Primary practice location
4040 Braeburn Way
Los Angeles, CA 90027-1308
Mailing address
4040 Braeburn Way
Los Angeles, CA 90027-1308
Phone (323) 660-4134
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A37404 | CA | MD | Pain Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1316190663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 BRAEBURN WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900271308",
"telephone_number": "323-660-4134",
"fax_number": "323-660-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 BRAEBURN WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900271308",
"telephone_number": "323-660-4134",
"fax_number": "323-660-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASATRIAN",
"first_name": "ALEXAN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-30",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "CA",
"license": "A37404",
"primary": true
}
],
"identifiers": [],
"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 Oct 30, 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.