Samuel a Malayan Medical Corp

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

G61143 Issued in CA

Legal business name

SAMUEL A MALAYAN MEDICAL CORP

Practice address

610 N Central Ave
Suite 301
Glendale, CA 91203-1403

Phone

(818) 550-0702

Fax

(818) 550-0705

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Sofya Bakhtamyan

Title

Office Manager

Phone

(818) 550-0702

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1407157878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N CENTRAL AVE",
            "address_2": "SUITE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031403",
            "telephone_number": "818-550-0702",
            "fax_number": "818-550-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N CENTRAL AVE",
            "address_2": "SUITE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031403",
            "telephone_number": "818-550-0702",
            "fax_number": "818-550-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL A MALAYAN MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "BAKHTAMYAN",
        "authorized_official_first_name": "SOFYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-550-0702"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G61143",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G61143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "G61143",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Samataro, NP
• Sondra Kay Samples, AUDIOLOGIST
• Farzin Samsami, M.D.
• Paulina Samson
• Nikila Samudrala
• San Antonio Hospice, Inc.
• San Feliz Urgent Care, Inc.
• San Gabriel Hospice & Palliative Care Inc
• San Gemini Home Health
• San Jose Pharmacy, Inc.

• Endocrinology, Diabetes & Metabolism Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.