A.Davtian M.D. Medical Services Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

A.DAVTIAN M.D. MEDICAL SERVICES INC.

Doing business as

Integrated Medical and Behavioral Associates

Practice address

222 W Eulalia St
301
Glendale, CA 91204-2849

Phone

(818) 240-0108

Fax

(818) 240-0301

NPI assigned

May 13, 2006

Last updated

May 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arakel Davtian, M.D.NPI 1275584260

Title

Ceo

Phone

(818) 240-0108

Specialties & licenses 1

Addresses

Other names 1

• INTEGRATED MEDICAL AND BEHAVIORAL ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

A Davtian MD Medical Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical and Behavioral Health Associates

  • Clinical Psychologist
  • Glendale, CA
  • NPI 1528372125
  NPD tax ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arakel Davtian, MD

  • Psychiatry Physician
  • Glendale, CA
  • NPI 1275584260
  Medicare reassignment Care Compare group NPD Authorized official
• Roberto Zarate, PHD

  • Clinical Psychologist
  • Pasadena, CA
  • NPI 1790811248
  Medicare reassignment Care Compare group NPD
• Edward Barsegyan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, CA
  • NPI 1407624927
  Medicare reassignment NPD
• Astrik Davtian, M.D.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1184675175
  Medicare reassignment NPD

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1356392344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-240-0108",
            "fax_number": "818-240-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-240-0108",
            "fax_number": "818-240-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.DAVTIAN M.D. MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "DAVTIAN",
        "authorized_official_first_name": "ARAKEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-240-0108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRATED MEDICAL AND BEHAVIORAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.