Emily Markarian
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Oak Park, CA
NPI 1659130730 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1659130730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 5121 Pesto Way
Oak Park, CA 91377-4845 - Phone
- (818) 264-5408
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251211004011 | CA | Order and Referring Only - Urology |
9830683267 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
5121 Pesto Way
Oak Park, CA 91377-4845
Mailing address
5121 Pesto Way
Oak Park, CA 91377-4845
Phone (818) 264-5408
Other providers in Oak Park, CA
- Michael Jason Kelley
- Suzi Landolphi
- Andrew Levine
- Lindero Urgent Care & Med Spa
- Jenna Marcovitz
- Andrew M Matthew
- Neal Memarian
- Eileen Dale Misrahi
- Maria H Monica
- Nakajima Psychological and Educational Services
All providers in Oak Park, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.