Individual provider Active NPI

Murat Mardirossian, M.D.

  • Family Medicine Physician
  • Woodland, CA
National Provider Identifier
1326289232
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A107029 Issued in CA
Practice address
632 W Gibson Rd
Woodland, CA 95695-5169
Phone
(530) 669-5310
Fax
(530) 666-9840
NPI assigned
Mar 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A43024 AZ
Family Medicine Physician 207Q00000X A107029 CA Primary

Addresses

Primary practice location

632 W Gibson Rd
Woodland, CA 95695-5169

Mailing address

632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 669-5310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20101025000471 AZ Practitioner - Family Practice 0941342638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
107029CAMDGeneral Practice Dentistry
A43024AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Health Care of Arizona Inc. CurrentSince Oct 4, 2010 Accepting new patients
Cigna Health Care of Arizona Inc Current Accepting new patients
Cigna Healthcare of Arizona, Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Oct 4, 2010 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group Family Medicine Past Accepting new patients

Locations

1473 N Dysart Rd
Ste 100
Avondale, AZ 85323
Phone (623) 925-4931

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

4001 E Baseline Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 532-4060

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

7600 N 15th St
Ste 185
Phoenix, AZ 85020
Phone (602) 678-3131

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13041 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 977-7201

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

433 W Broadway Rd
Tempe, AZ 85282
Phone (480) 968-7835

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1326289232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W GIBSON RD",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956955169",
            "telephone_number": "530-669-5310",
            "fax_number": "530-666-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W GIBSON RD",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956955169",
            "telephone_number": "530-669-5310",
            "fax_number": "530-666-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDIROSSIAN",
        "first_name": "MURAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "A43024",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A107029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.