Andrew J. Mikaelian, M.D. Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ANDREW J. MIKAELIAN, M.D. INC.

Practice address

1240 Westlake Blvd.
Suite 135
Westlake Village, CA 91361-1987

Phone

(805) 494-9993

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Andrew J. Mikaelian, M.D.NPI 1891740973

Title

Ceo

Phone

(805) 494-9993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew J. Mikaelian, M.D.

  • Otolaryngology Physician
  • Westlake Village, CA
  • NPI 1891740973

  CA, Otolaryngology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1609804657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 WESTLAKE BLVD.",
            "address_2": "SUITE 135",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 WESTLAKE BLVD.",
            "address_2": "SUITE 135",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611987",
            "telephone_number": "805-494-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J. MIKAELIAN, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "MIKAELIAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-494-9993",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Westlake Village, CA
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.