Active NPI
Ara Kelekian DPM Inc
- Durable Medical Equipment & Medical Supplies
- Burbank, CA
National Provider Identifier
1386838449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- E4536
- Legal business name
- ARA KELEKIAN DPM INC
- Practice address
- 4314 W Victory Blvd
Burbank, CA 91505-1334 - Phone
- (818) 848-0535
- Fax
- (818) 843-6656
- NPI assigned
- Aug 31, 2007
- 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. Ara Kelekian, D.P.M.
- Title
- Owner
- Phone
- (323) 270-0295
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | E4536 | CA | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | E4536 | CA |
Addresses
Primary practice location
4314 W Victory Blvd
Burbank, CA 91505-1334
Mailing address
515 W Beverly Blvd
Suite 201
Montebello, CA 90640-3665
Phone (323) 346-0996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930024339 | CA | DME Supplier - Physician - Podiatry | 1355358557 | Practice locations: Burbank, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355788800000",
"number": "1386838449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W BEVERLY BLVD",
"address_2": "SUITE 201",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403665",
"telephone_number": "323-346-0996",
"fax_number": "323-346-0986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4314 W VICTORY BLVD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915051334",
"telephone_number": "818-848-0535",
"fax_number": "818-843-6656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARA KELEKIAN DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-31",
"last_updated": "2012-12-18",
"status": "A",
"authorized_official_last_name": "KELEKIAN",
"authorized_official_first_name": "ARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-270-0295",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "E4536",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": "E4536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.