Armen Nercessian DO Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A6784 Issued in CA

Legal business name

ARMEN NERCESSIAN DO INC

Practice address

1710 E Washington Blvd
Pasadena, CA 91104-2751

Phone

(626) 345-9022

Fax

(626) 345-9019

NPI assigned

Feb 13, 2017

Last updated

Feb 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Armen Yeghia Nercessian, DO

Title

President/ Owner

Phone

(626) 345-9022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Armen Nercessian DO Inc

  • General Practice Physician
  • Glendale, CA
  • NPI 1023390770

  O20120425000693

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosanna Wadie Iskander, M.D.

  • Family Medicine Physician
  • San Dimas, CA
  • NPI 1265500896
  NPD (past)
• Violeta M Navasardian, M.D.

  • General Practice Physician
  • Pasadena, CA
  • NPI 1073650925
  NPD (past)
• Heidi Tawadros, PA.C

  • General Practice Physician
  • Maywood, CA
  • NPI 1992929335
  NPD (past)

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1417496332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042751",
            "telephone_number": "626-345-9022",
            "fax_number": "626-345-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042751",
            "telephone_number": "626-345-9022",
            "fax_number": "626-345-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMEN NERCESSIAN DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "NERCESSIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_middle_name": "YEGHIA",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "626-345-9022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A6784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lenes J Armelin IV
• Lea Sasha Armendariz, PT
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• Carolina Armenta
• Lidi Enedina Armenta
• Arml Inc. (Amelia rose Mascola-lugo)

• General Practice Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.