Socal Anestesia Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOCAL ANESTESIA INC

Practice address

445 W Broadway
Glendale, CA 91204-1208

Phone

(323) 630-0723

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Karapet Dermendjian, MDNPI 1326059452

Title

Ceo

Phone

(323) 630-0723

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karapet Gary Dermendjian, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1326059452
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1396358628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N CATALINA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271132",
            "telephone_number": "323-630-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041208",
            "telephone_number": "323-630-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL ANESTESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "DERMENDJIAN",
        "authorized_official_first_name": "KARAPET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-630-0723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SNL Hospice, Inc.
• Erika Snyder
• Jeong Ho So, PHARMD
• Stephanie So
• Katerina Sobevska
• Socal Anesthsia Consultants Medical Group, Inc.
• Socal Home Health, Inc.
• Socal Hospice Services, Inc.
• Socal Integrated Care, Inc
• Socal Med

• Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.