Active NPI
Tsovinar Tekkelian,M.D.,Inc.
- Internal Medicine Physician
- Glendale, CA
National Provider Identifier
1376881847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A52251
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tsovinar Tekkelian, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Cardiac Electrophysiology Physician
- Glendale, CA
- NPI 1558447607
-
- Physician Assistant
- Burbank, CA
- NPI 1598829434
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.