Individual provider Active NPI

Tigran Martikyan, M.D.

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1538425814
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
135046 Issued in CA
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

Updated by the provider on May 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714002222 CA Practitioner - Family PracticePractitioner - Emergency Medicine 3173843422 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
135046CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Emergency Medical Associates, Inc Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Mar 1, 2023 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.