Individual provider Active NPI

Hagop Artin Dikranian, M.D.

  • Urology Physician
  • Alhambra, CA
National Provider Identifier
1396780763
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C37794 Issued in CA
Practice address
901 S Garfield Ave
Alhambra, CA 91801-4442
Phone
(626) 281-3701
Fax
(626) 281-2651
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X C37794 CA Primary

Addresses

Primary practice location

901 S Garfield Ave
Alhambra, CA 91801-4442

Mailing address

901 S Garfield Ave
Alhambra, CA 91801-4442
Phone (626) 281-3701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000668 CA Practitioner - Urology 8426127655 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C37794CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dikranian Urology Inc CurrentSince Jan 1, 2008 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

901 S Garfield Ave
Alhambra, CA 91801
Phone (626) 281-3701

800 Fairmount Ave
Ste 412
Pasadena, CA 91105
Phone (626) 486-0184

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1396780763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S GARFIELD AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014442",
            "telephone_number": "626-281-3701",
            "fax_number": "626-281-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S GARFIELD AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014442",
            "telephone_number": "626-281-3701",
            "fax_number": "626-281-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKRANIAN",
        "first_name": "HAGOP",
        "middle_name": "ARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "C37794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.