Individual provider Active NPI

Ani Hovhannisyan

  • Dentist
  • El Monte, CA
National Provider Identifier
1487350393
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108505 Issued in CA
Practice address
10012 Garvey Ave Ste 11
El Monte, CA 91733-2086
Phone
(626) 433-1300
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 108505 CA
Dentist 122300000X 108505 CA Primary

Addresses

Primary practice location

10012 Garvey Ave Ste 11
El Monte, CA 91733-2086

Mailing address

578 N Holliston Ave Apt 2
Pasadena, CA 91106-1236
Phone (818) 554-8848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108505CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tigran Ovsepyan DDS Inc. General Practice CurrentSince Feb 8, 2023 Accepting new patients
Letran Dental Corporation General Practice PastSince Feb 8, 2023 Accepting new patients

Locations

10012 Garvey Ave
Ste 11
El Monte, CA 91733
Phone (626) 433-1300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1487350393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 N HOLLISTON AVE APT 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061236",
            "telephone_number": "818-554-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 GARVEY AVE STE 11",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332086",
            "telephone_number": "626-433-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVHANNISYAN",
        "first_name": "ANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108505",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.