Active NPI
Albert Baktanian MD Inc Apmc
- Ophthalmology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A41358
- Legal business name
- ALBERT BAKTANIAN MD INC APMC
- Practice address
- 1030 S Glendale Ave
Suite 505
Glendale, CA 91205-5612 - Phone
- (818) 500-0888
- Fax
- (818) 500-4807
- NPI assigned
- Oct 14, 2010
- 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. Albert Baktanian, MD
- Title
- President
- Phone
- (818) 500-0888
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A41358 | CA | Primary |
Addresses
Primary practice location
1030 S Glendale Ave
Suite 505
Glendale, CA 91205-5612
Mailing address
1030 S Glendale Ave
Suite 505
Glendale, CA 91205-5612
Phone (818) 500-0888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A41358 | Other | CA | MEDICAL LICENSE |
| 00A413580 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
801 S Chevy Chase Dr
Ste 10
Glendale, CA 91205
Practitioners & affiliated clinicians
Practitioners 1
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": "1287014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394150400000",
"number": "1386954154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 S GLENDALE AVE",
"address_2": "SUITE 505",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912055612",
"telephone_number": "818-500-0888",
"fax_number": "818-500-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 S GLENDALE AVE",
"address_2": "SUITE 505",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912055612",
"telephone_number": "818-500-0888",
"fax_number": "818-500-4807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERT BAKTANIAN MD INC APMC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-14",
"last_updated": "2014-03-07",
"status": "A",
"authorized_official_last_name": "BAKTANIAN",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-500-0888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "A41358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A41358",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A413580",
"state": "CA"
}
],
"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 Mar 7, 2014; 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.