Marianna Ghularyan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

61407 Issued in CA

Practice address

343 N Chevy Chase Dr Unit 5
Glendale, CA 91206-6002

Phone

(818) 536-8855

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: mghularyan@direct.westerndental.com

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1356694061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 N CHEVY CHASE DR UNIT 5",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912066002",
            "telephone_number": "818-536-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 N CHEVY CHASE DR UNIT 5",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912066002",
            "telephone_number": "818-536-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHULARYAN",
        "first_name": "MARIANNA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moushumi G Ghose, MFT
• Matthew Ghukassian, MFT
• Edgar Ghukasyan
• Karina Ghukasyan
• Margarita Ghukasyan
• Angelo Carlo Gianzon
• Carla Mae Elisse Caraos Gianzon, ADN, RN, COTA/L
• Harlan Gibbs, M.D.
• Gift of Comfort Hospice, Inc.
• Gilbert Garcia

• Dentist in Glendale, CA
• Providers in Glendale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.

Verify at the official NPI Registry.