Michael Nadzhafov, CRNA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

19506 Issued in NU

Practice address

1141 N Brand Blvd
Ste. 300
Glendale, CA 91202-2511

Phone

(818) 546-1500

Fax

(818) 546-1501

NPI assigned

Apr 10, 2009

Last updated

May 12, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• David G Davtyan MD Inc a Professional Medical Corporation

  • Surgery Physician
  • Glendale, CA
  • NPI 1326186636
  NPD (past)

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1568605236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "#440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-471-5852",
            "fax_number": "310-472-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD",
            "address_2": "STE. 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022511",
            "telephone_number": "818-546-1500",
            "fax_number": "818-546-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADZHAFOV",
        "first_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": "19506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• N&I Hospice, Inc.
• NA&TJ Inc (Meadow Psychotherapy Services)
• Natalie Nabih, LMFT
• Vahagn Nacharyan, N.P.
• Alexander Nachlis, FNP-C
• Paytsar Nagapetyan
• Vahe Nahapetyan
• Melinda Chow Nahigian, MS
• Naigava Medical Management Group Inc
• Win P Naing, DDS

• Surgical Physician Assistant in Glendale, CA
• Providers in Glendale, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.