Organization Active NPI

Charchian Medical Corporation

  • Specialist
  • Glendale, CA
National Provider Identifier
1396962460
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A48503 Issued in CA
Legal business name
CHARCHIAN MEDICAL CORPORATION
Practice address
1030 S Glendale Ave Ste 305
Glendale, CA 91205-2866
Phone
(818) 241-0220
Fax
(818) 241-7872
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Dr. David M. Charchian, M.D.
Title
President
Phone
(818) 241-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A48503 CA Primary

Addresses

Primary practice location

1030 S Glendale Ave Ste 305
Glendale, CA 91205-2866

Mailing address

1030 S Glendale Ave Ste 305
Glendale, CA 91205-2866
Phone (818) 241-0220

National Provider Directory

National Provider Directory

Locations

1030 S Glendale Ave
Ste 305
Glendale, CA 91205
Phone (818) 241-0220

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1396962460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 305",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-241-0220",
            "fax_number": "818-241-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 305",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-241-0220",
            "fax_number": "818-241-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARCHIAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "CHARCHIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-241-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A48503",
            "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 Apr 7, 2016; 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.