Karapet Gary Dermendjian, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

38999 Issued in CA

Practice address

1300 N Vermont Ave
Los Angeles, CA 90027-6005

Phone

(323) 663-4595

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Tiger Valley Medical Group, Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1144361171
  Medicare reassignment NPD
• Socal Anestesia Inc

  • Clinic/Center
  • Glendale, CA
  • NPI 1396358628
  NPD Authorized official
• Gold Med Surgery Center Inc.

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
  • NPI 1750673398
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1326059452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N CATALINA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271132",
            "telephone_number": "323-663-4595",
            "fax_number": "323-663-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-663-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMENDJIAN",
        "first_name": "KARAPET",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "38999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology and Hair Restoration Specialists,Inc.
• Dermatology Express, a Professional Medical Corporation
• Dermatology Medical Associates of Century City
• Dermatology Unlimited, a Professional Medical Corporation
• Anna Dermenchyan, PHD, RN
• Dermking Institute
• Celia Lee Dermont, L.AC.
• Kathryn Dern, MD
• Corry Derobertis, CRNA
• Adrineh - Derohanian, MSW

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.