Organization Active NPI

Ara Kelekian DPM Inc

  • Durable Medical Equipment & Medical Supplies
  • Burbank, CA
National Provider Identifier
1386838449
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
E4536 Issued in CA
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

Updated by the provider on Dec 18, 2012

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

NPI 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.

Verify at the official NPI Registry.