Vicken Marganian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43816 Issued in CA

Practice address

2684 E Colorado Blvd
Pasadena, CA 91107-3726

Phone

(626) 577-5585

Fax

(626) 577-7075

NPI assigned

Mar 5, 2007

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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• San Gabrial Family Dental Center

  • Dental Clinic/Center
  • Pasadena, CA
  • NPI 1467204982
  NPD Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619006699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2684 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073726",
            "telephone_number": "626-577-5585",
            "fax_number": "626-577-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2684 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073726",
            "telephone_number": "626-577-5585",
            "fax_number": "626-577-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGANIAN",
        "first_name": "VICKEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talin Shahbazi Mardirossian, PHARMD
• Caroline Mardouryan
• Brianna Michelle Marecki, PH.D.
• Grecel Garcia Mares
• Elizabeth Marie Marfazelian, FNP
• Lilly Marian, MFT
• Aleksandar N/a Maric, MFT
• Nina Marikian
• Brandon Lucas Marin
• Christina Marin, LCSW

• General Practice Dentistry in Pasadena, CA
• Providers in Pasadena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.