Individual provider Active NPI

Androush Safarian, D.M.D.

  • Periodontics
  • Glendale, CA
National Provider Identifier
1386869063
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
38910 Issued in CA
Practice address
1000 N Central Ave
Suite # 250
Glendale, CA 91202-2957
Phone
(818) 241-6860
Fax
(818) 241-3810
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38910 CA
Periodontics 1223P0300X 38910 CA Primary

Addresses

Primary practice location

1000 N Central Ave
Suite # 250
Glendale, CA 91202-2957

Mailing address

1000 N Central Ave
Suite # 250
Glendale, CA 91202-2957
Phone (818) 241-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38910CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1386869063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE",
            "address_2": "SUITE # 250",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022957",
            "telephone_number": "818-241-6860",
            "fax_number": "818-241-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE",
            "address_2": "SUITE # 250",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022957",
            "telephone_number": "818-241-6860",
            "fax_number": "818-241-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFARIAN",
        "first_name": "ANDROUSH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38910",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "38910",
            "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 Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.