Active NPI
Nazareth E Darakjian
- Eyewear Supplier
- Pasadena, CA
National Provider Identifier
1366600355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- G 44736
- 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 DARAKJIAN
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G447360 | Medicaid | CA |
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.