Active NPI
Tigran Martikyan, M.D.
- Family Medicine Physician
- Glendale, CA
National Provider Identifier
1538425814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 135046
- Practice address
- 325 N Kenwood St Apt B
Glendale, CA 91206-3543 - Phone
- (818) 433-9915
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 135046 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TX | ||
| Family Medicine Physician | 207Q00000X | 135046 | CA | Primary |
Addresses
Primary practice location
325 N Kenwood St Apt B
Glendale, CA 91206-3543
Mailing address
325 N Kenwood St Apt B
Glendale, CA 91206-3543
Phone (818) 433-9915
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135046 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Valley Emergency Medical Associates, Inc | Emergency Medicine | Current | Accepting new patients |
| Gem Medical Group Corporation | Emergency Medicine | Current | Accepting new patients |
| Gem Medical Group Corporation | Emergency Medicine | Current | Accepting new patients |
Locations
525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222
1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916
9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565
Interoperability endpoints
- tigran.martikyan@398008301912068.direct.elationemr.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Whittier, CA
- NPI 1346287430
-
- Emergency Medicine Physician
- Whittier, CA
- NPI 1689364721
-
- Health Service Clinic/Center
- Westlake Village, CA
- NPI 1467074963
-
dba GEM Medical Group
- Emergency Medicine Physician
- Monterey Park, CA
- NPI 1689386815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1538425814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 N KENWOOD ST APT B",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912063543",
"telephone_number": "818-433-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N KENWOOD ST APT B",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912063543",
"telephone_number": "818-433-9915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIKYAN",
"first_name": "TIGRAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "135046",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "135046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Maria Marroquin
- Vanessa Marsot, MFT
- Marta a Recasens MD a Professional Medical Corporation (Macular Retinal Vitreal Associates)
- Natalie Martigon
- Edna Martikian, D.C.
- Martin Montoro M.D. and Barry W Cohan M.D., a Medical Corporation
- Barbara Martin, SLP
- Briana Marie Martin, OTR/L
- Charmaine Martin
- Forrest D Martin, NONE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.