Individual provider Active NPI

Anatoliy Gazaryan

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1558741256
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
539 N Glenoaks Blvd
Suite 206
Burbank, CA 91502-3201
Phone
(818) 563-1600
Fax
(818) 563-1603
NPI assigned
Jun 8, 2015
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

539 N Glenoaks Blvd
Suite 206
Burbank, CA 91502-3201

Mailing address

539 N Glenoaks Blvd
Suite 206
Burbank, CA 91502-3201
Phone (818) 563-1600

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Home Health Services, Inc Home Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1558741256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 N GLENOAKS BLVD",
            "address_2": "SUITE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915023201",
            "telephone_number": "818-563-1600",
            "fax_number": "818-563-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 N GLENOAKS BLVD",
            "address_2": "SUITE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915023201",
            "telephone_number": "818-563-1600",
            "fax_number": "818-563-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZARYAN",
        "first_name": "ANATOLIY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.