Edmon Artinyan

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

Practice address

1721 W Yosemite Ave
Manteca, CA 95337-5130

Phone

(209) 825-3700

NPI assigned

Oct 24, 2018

Last updated

Oct 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifespan: a Center for Family Psychological Services Inc.

  • Clinical Psychologist
  • Thousand Oaks, CA
  • NPI 1255096426
  Medicare reassignment NPD Authorized official
• Family Psychological Services Inc

  • Psychologist
  • Agoura Hills, CA
  • NPI 1881746733
  Medicare reassignment NPD

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1578030953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LESTER AVE APT 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061329",
            "telephone_number": "818-665-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W YOSEMITE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375130",
            "telephone_number": "209-825-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTINYAN",
        "first_name": "EDMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Indombo Aringo, RN
• Poonam Arora, MD
• Rosa Isela Arriaga Mendoza
• Arthritis and Rheumatism Center Inc., a Medical Corporation
• Arthritis and Rheumatism Center Inc., a Medical Corporation
• Artius Dermatology Associates PC
• Kelia U Aspiras
• Hassan Assl, MSPA
• Associate Home Health Care Inc
• Athena Medical Center for Women, Inc

• Health Psychologist in Manteca, CA
• Providers in Manteca, CA by specialty
• Health Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.