Individual provider Active NPI

Eric L Babayan, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Fernando, CA
National Provider Identifier
1346466679
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
52342 Issued in CA
Practice address
504 N Maclay Ave
San Fernando, CA 91340-2481
Phone
(818) 365-9827
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 52342 CA Primary

Addresses

Primary practice location

504 N Maclay Ave
San Fernando, CA 91340-2481

Mailing address

5255 Alta Canyada Rd
La Canada Flintridge, CA 91011-1605
Phone (818) 399-1974

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

State licenses

LicenseStateTypeSpecialty
52342CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Leon Babayan, DDS Apc Orthodontics and Dentofacial Orthopedics CurrentSince Aug 18, 2019 Accepting new patients

Locations

504 N Maclay Ave
San Fernando, CA 91340
Phone (818) 365-9827

444 S Brand Blvd
Ste 104
San Fernando, CA 91340
Phone (818) 365-9827

Organizations & group practices 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1346466679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 ALTA CANYADA RD",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910111605",
            "telephone_number": "818-399-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N MACLAY AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402481",
            "telephone_number": "818-365-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAYAN",
        "first_name": "ERIC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "52342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.