Active NPI
Murat Mardirossian, M.D.
- Family Medicine Physician
- Woodland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A107029
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101025000471 | AZ | Practitioner - Family Practice | 0941342638 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107029 | CA | MD | General Practice Dentistry |
| A43024 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cigna Health Care of Arizona Inc. | Current | 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. | 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 | |
| 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.
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1467564302
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1245338235
-
- Urgent Care Clinic/Center
- Glendale, AZ
- NPI 1356445365
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1619048048
-
- Multi-Specialty Clinic/Center
- Tempe, AZ
- NPI 1649341298
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1942371679
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1073626404
-
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1730417676
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1740788702
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.