Active NPI
Yervand Set-Agayan DO Inc
- Family Medicine Physician
- Glendale, CA
National Provider Identifier
1659510915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- YERVAND SET-AGAYAN DO INC
- Practice address
- 1330 S Glendale Ave
Glendale, CA 91205-3349 - Phone
- (818) 507-8181
- Fax
- (818) 507-9431
- NPI assigned
- Feb 10, 2009
- Last updated
- Feb 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yervand Set-Agayan
- Title
- Owner
- Phone
- (818) 507-8181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1330 S Glendale Ave
Glendale, CA 91205-3349
Mailing address
1330 S Glendale Ave
Glendale, CA 91205-3349
Phone (818) 507-8181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A9932 | Other | LICENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234224000000",
"number": "1659510915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 S GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912053349",
"telephone_number": "818-507-8181",
"fax_number": "818-507-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 S GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912053349",
"telephone_number": "818-507-8181",
"fax_number": "818-507-9431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YERVAND SET-AGAYAN DO INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-10",
"last_updated": "2009-02-10",
"status": "A",
"authorized_official_last_name": "SET-AGAYAN",
"authorized_official_first_name": "YERVAND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-507-8181"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "20A9932",
"state": null
}
],
"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 Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.