Active NPI
Saro Avakian MD a Medical Corp
- Family Medicine Physician
- Glendale, CA
National Provider Identifier
1326316233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SARO AVAKIAN MD A MEDICAL CORP
- Practice address
- 1015 Dolorita Ave
Glendale, CA 91208-1123 - Phone
- (818) 330-9794
- NPI assigned
- Dec 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saro Avakian, MD
- Title
- President
- Phone
- (818) 330-9794
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1015 Dolorita Ave
Glendale, CA 91208-1123
Mailing address
1015 Dolorita Ave
Glendale, CA 91208-1123
Phone (818) 330-9794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120511000507 | CA | Part B Supplier - Clinic/Group Practice | 9830352764 |
Receives reassigned benefits from 1 practitioner Practice locations: Glendale, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1326316233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 DOLORITA AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081123",
"telephone_number": "818-330-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 DOLORITA AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081123",
"telephone_number": "818-330-9794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARO AVAKIAN MD A MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "AVAKIAN",
"authorized_official_first_name": "SARO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-330-9794",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.