Gagik Ignatenko

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

CVOP1915290 Issued in CA

Practice address

415 E Harvard St Ste 203a
Glendale, CA 91205-1045

Phone

(818) 818-4697

NPI assigned

Apr 1, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grand Care Medical Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Glendale, CA
  • NPI 1720680341
  NPD Authorized official

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1396323945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HARVARD ST STE 203A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051045",
            "telephone_number": "818-818-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E HARVARD ST STE 203A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051045",
            "telephone_number": "818-818-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNATENKO",
        "first_name": "GAGIK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "CVOP1915290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ighia Aintablian MD a Professional Corporation
• Nelis Margarita Iglesias
• Ignacio Valdes MD a Professional
• Ignacio Valdes, MD Apc
• Ma Nyzza Ignacio, DMD
• Ikenna Nwachuku, MD, Inc.
• Ilab Management, Inc.
• Ilan Healthcare Group, Inc.
• Ilena J. Blicker, MD, AMC
• Immaculate Home Care, Inc.

• Non-emergency Medical Transport (VAN) in Glendale, CA
• Providers in Glendale, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.