Gary Manukyan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50421 Issued in CA

Practice address

2302 Nella Vista Ave
Los Angeles, CA 90027-1332

Phone

(323) 428-7799

NPI assigned

Aug 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: gmanukyan@direct.westerndental.com

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1457517906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 NELLA VISTA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271332",
            "telephone_number": "323-428-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 NELLA VISTA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271332",
            "telephone_number": "323-428-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUKYAN",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armine Manukian, LCSW
• Karina Manukian
• Aren Manukyan
• Arman Manukyan, PHARMD
• Arman Manukyan
• Irina Manukyan, N.P.
• Mary Manukyan
• Venera Manukyan
• Yeva Manukyan, DDS
• Karolina Manvelyan, D.C.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.