Active NPI
Naira Gevorgyan, DDS
- Dentist
- North Hollywood, CA
National Provider Identifier
1649489279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55646
- Practice address
- 10903 Magnolia Blvd
North Hollywood, CA 91601-3904 - Phone
- (818) 345-0007
- Fax
- (818) 345-1360
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 55646 | CA | Primary |
Addresses
Primary practice location
10903 Magnolia Blvd
North Hollywood, CA 91601-3904
Mailing address
10903 Magnolia Blvd
North Hollywood, CA 91601-3904
Phone (818) 345-0007
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55646 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1649489279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10903 MAGNOLIA BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013904",
"telephone_number": "818-345-0007",
"fax_number": "818-345-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10903 MAGNOLIA BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013904",
"telephone_number": "818-345-0007",
"fax_number": "818-345-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEVORGYAN",
"first_name": "NAIRA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.