Organization Active NPI

David Nazarian MD a Medical Corporation

  • Specialist
  • Tarzana, CA
National Provider Identifier
1639475452
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A102096 Issued in CA
Legal business name
DAVID NAZARIAN MD A MEDICAL CORPORATION
Practice address
18425 Burbank Blvd
Suite 105
Tarzana, CA 91356-2868
Phone
(818) 343-1401
Fax
(818) 343-1930
NPI assigned
Jan 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
David Nazarian, MDNPI 1740461466
Title
Owner
Phone
(310) 295-8626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A102096 CA Primary

Addresses

Primary practice location

18425 Burbank Blvd
Suite 105
Tarzana, CA 91356-2868

Mailing address

18425 Burbank Blvd
Suite 105
Tarzana, CA 91356-2868
Phone (818) 343-1401

National Provider Directory

National Provider Directory

Locations

18425 Burbank Blvd
Ste 105
Tarzana, CA 91356
Phone (310) 470-8446

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1639475452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 105",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562868",
            "telephone_number": "818-343-1401",
            "fax_number": "818-343-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 105",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562868",
            "telephone_number": "818-343-1401",
            "fax_number": "818-343-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID NAZARIAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "NAZARIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-295-8626",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A102096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.