Organization Active NPI

Nazareth E Darakjian

  • Eyewear Supplier
  • Pasadena, CA
National Provider Identifier
1366600355
Registry record updated Jul 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
G 44736 Issued in CA
Legal business name
NAZARETH E DARAKJIAN
Practice address
2595 E Washington Blvd
Suite 102
Pasadena, CA 91107-1409
Phone
(626) 794-2356
NPI assigned
May 28, 2008
Organization subpart
Yes
Parent organization
NAZARETH E DARAKJIANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2011

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

Authorized official

Name
Dr. Nazareth E Darakjian, M.D.
Title
Owner
Phone
(626) 794-2356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X G 44736 CA Primary

Addresses

Primary practice location

2595 E Washington Blvd
Suite 102
Pasadena, CA 91107-1409

Mailing address

2595 E Washington Blvd
Suite 102
Pasadena, CA 91107-1409
Phone (626) 794-2356

Other identifiers 1

IdentifierTypeStateIssuer
00G447360MedicaidCA

National Provider Directory

National Provider Directory
Part of
Nazareth E Darakjian

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311379200000",
    "number": "1366600355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 E WASHINGTON BLVD",
            "address_2": "SUITE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071409",
            "telephone_number": "626-794-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 E WASHINGTON BLVD",
            "address_2": "SUITE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071409",
            "telephone_number": "626-794-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH E DARAKJIAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAZARETH E DARAKJIAN",
        "enumeration_date": "2008-05-28",
        "last_updated": "2011-07-23",
        "status": "A",
        "authorized_official_last_name": "DARAKJIAN",
        "authorized_official_first_name": "NAZARETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-794-2356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "G 44736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G447360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2011; 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.