Organization Active NPI

Pierre Manukian, M.D., Inc.

  • Primary Care Clinic/Center
  • Burbank, CA
National Provider Identifier
1457776866
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A100998 Issued in CA
Legal business name
PIERRE MANUKIAN, M.D., INC.
Practice address
1624 W Olive Ave
Suite F
Burbank, CA 91506-2459
Phone
(747) 200-6050
Fax
(818) 875-1563
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Dr. Pierre George Manukian, M.D.
Title
President
Phone
(831) 210-6057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A100998 CA Primary

Addresses

Primary practice location

1624 W Olive Ave
Suite F
Burbank, CA 91506-2459

Mailing address

1624 W Olive Ave
Suite F
Burbank, CA 91506-2459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1457776866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVE",
            "address_2": "SUITE F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVE",
            "address_2": "SUITE F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062459",
            "telephone_number": "747-200-6050",
            "fax_number": "818-875-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE MANUKIAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "MANUKIAN",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-210-6057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A100998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.