Individual provider Active NPI

Ruzanna Galfayan, D.D.S.

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1649340761
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
B38839 Issued in CA
Practice address
445 W Broadway
Glendale, CA 91204-1208
Phone
(818) 421-5825
NPI assigned
Nov 8, 2006
Last updated
May 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X B38839 CA Primary

Addresses

Primary practice location

445 W Broadway
Glendale, CA 91204-1208

Mailing address

445 W. Broadway Ave.
Glendale, CA 91204-1208
Phone (818) 421-5825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
B38839CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1649340761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W. BROADWAY AVE.",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041208",
            "telephone_number": "818-421-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041208",
            "telephone_number": "818-421-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALFAYAN",
        "first_name": "RUZANNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B38839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.