NPIMap

Individual provider Active NPI

Garen Derhartunian, M.D.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1609133776
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A134914 Issued in CA
Practice address
214 N Central Ave
Glendale, CA 91203-3556
Phone
(818) 246-8000
Fax
(818) 696-2176
NPI assigned
Apr 13, 2012
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A134914 CA Primary

Addresses

Primary practice location

214 N Central Ave
Glendale, CA 91203-3556

Mailing address

214 N Central Ave
Glendale, CA 91203-3556
Phone (818) 246-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125002781 CA Practitioner - Internal Medicine 2567764830 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elevate Health Group a Medical CorporationGroup PAC ID 1951603224, 17 clinicians
Concord Hospitalist Group a Medical CorporationGroup PAC ID 3072899228, 15 clinicians
Elevate Hospitalist Group IncGroup PAC ID 4183165129, 8 clinicians

Practice addresses (Care Compare)

1407 Foothill Blvd
La Canada, CA 91011-2194
Phone (818) 246-8000

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 246-8000

214 N Central Ave
Glendale, CA 91203-3556
Phone (818) 246-8000

3808 W Riverside Dr
Suite 120
Burbank, CA 91505-4339
Phone (818) 246-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A134914CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Health Group a Medical Corporation Internal Medicine CurrentSince Nov 14, 2015 Accepting new patients
Elevate Hospitalist Group Inc CurrentSince Jul 26, 2024 Accepting new patients
Cognacare Neurologic, Inc CurrentSince Oct 1, 2025 Accepting new patients
Concord Hospitalist Group a Medical Corporation CurrentSince Jun 1, 2017 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1451 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 265-2245

1577 E Chevy Chase Dr
Ste 260
Glendale, CA 91206
Phone (818) 246-8000

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

214 N Central Ave
Glendale, CA 91203
Phone (818) 241-0970

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: garen.derhartunian.1@17568.direct.athenahealth.com
  • Direct secure messaging: garen.derhartunian.1@31962.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17568/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1609133776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033556",
            "telephone_number": "818-246-8000",
            "fax_number": "818-696-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033556",
            "telephone_number": "818-246-8000",
            "fax_number": "818-696-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERHARTUNIAN",
        "first_name": "GAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A134914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.