Organization Active NPI

Tsovinar Tekkelian,M.D.,Inc.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1376881847
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A52251 Issued in CA
Legal business name
TSOVINAR TEKKELIAN,M.D.,INC.
Practice address
1251 S Glendale Ave
Glendale, CA 91205-3204
Phone
(818) 500-9393
Fax
(818) 500-1046
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Dr. Tsovinar Tekkelian, MDNPI 1558447607
Title
Physician
Phone
(818) 500-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A52251 CA Primary

Addresses

Primary practice location

1251 S Glendale Ave
Glendale, CA 91205-3204

Mailing address

540 N Central Ave
#207
Glendale, CA 91203-1916
Phone (818) 500-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130305000257 CA Part B Supplier - Clinic/Group Practice 4587685680 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

1251 S Glendale Ave
Glendale, CA 91205
Phone (818) 500-9393

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1376881847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N CENTRAL AVE",
            "address_2": "#207",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031916",
            "telephone_number": "818-500-9393",
            "fax_number": "818-500-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053204",
            "telephone_number": "818-500-9393",
            "fax_number": "818-500-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSOVINAR TEKKELIAN,M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "TEKKELIAN",
        "authorized_official_first_name": "TSOVINAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-500-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.