Organization Active NPI

Garbis Kassabian, M.D., Inc. a Professional Corporation

  • Pulmonary Disease Physician
  • Mission Hills, CA
National Provider Identifier
1508062738
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G79982 Issued in CA
Legal business name
GARBIS KASSABIAN, M.D., INC. A PROFESSIONAL CORPORATION
Practice address
14901 Rinaldi St
Suite # 305
Mission Hills, CA 91345-1204
Phone
(818) 837-6830
Fax
(818) 837-6832
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Dr. Garbis Kassabian, M.D.NPI 1083692669
Title
President
Phone
(818) 837-6830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X G79982 CA Primary

Addresses

Primary practice location

14901 Rinaldi St
Suite # 305
Mission Hills, CA 91345-1204

Mailing address

14901 Rinaldi St
Suite # 305
Mission Hills, CA 91345-1204
Phone (818) 837-6830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070706000293 CA Part B Supplier - Clinic/Group Practice 4880794783 Receives reassigned benefits from 1 practitioner
Practice locations: Mission Hills, CA; North Hills, CA; Panorama City, CA; Van Nuys, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1508062738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "SUITE # 305",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-837-6830",
            "fax_number": "818-837-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "SUITE # 305",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-837-6830",
            "fax_number": "818-837-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARBIS KASSABIAN, M.D., INC. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "KASSABIAN",
        "authorized_official_first_name": "GARBIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-837-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G79982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.