Individual provider Active NPI

Ripsik Gukasyan

  • Public Health Dentistry
  • Los Angeles, CA
National Provider Identifier
1538434196
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
46262 Issued in CA
Practice address
925 W 34TH St
Den 4278
Los Angeles, CA 90089-0641
Phone
(213) 740-9474
Fax
(213) 740-7965
NPI assigned
Mar 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 46262 CA Primary
Community Health Worker 172V00000X 46262 CA

Addresses

Primary practice location

925 W 34TH St
Den 4278
Los Angeles, CA 90089-0641

Mailing address

121 Sinclair Ave
#117
Glendale, CA 91206-4005
Phone (818) 548-3486

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
46262CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1538434196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SINCLAIR AVE",
            "address_2": "#117",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064005",
            "telephone_number": "818-548-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W 34TH ST",
            "address_2": "DEN 4278",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890641",
            "telephone_number": "213-740-9474",
            "fax_number": "213-740-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUKASYAN",
        "first_name": "RIPSIK",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "46262",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "46262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.