Active NPI
Martin Airian, PA-C
- Medical Physician Assistant
- Glendale, CA
National Provider Identifier
1558737791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 51964
- Practice address
- 1577 E Chevy Chase Dr Ste 240
Glendale, CA 91206-4742 - Phone
- (818) 937-9551
- NPI assigned
- Aug 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 51964 | CA | Primary |
Addresses
Primary practice location
1577 E Chevy Chase Dr Ste 240
Glendale, CA 91206-4742
Mailing address
516 Naranja Dr
Glendale, CA 91206-3445
Phone (213) 999-6736
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51964 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1558737791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 NARANJA DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912063445",
"telephone_number": "213-999-6736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1577 E CHEVY CHASE DR STE 240",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064742",
"telephone_number": "818-937-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIRIAN",
"first_name": "MARTIN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "51964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.