Organization Active NPI

Yervand Set-Agayan DO Inc

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1659510915
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
20A9932OtherLICENSE NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.