Core Geriatric Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CORE GERIATRIC MEDICAL GROUP INC

Practice address

214 N. Central Ave
Glendale, CA 91203

Phone

(818) 758-9588

Fax

(818) 975-5217

NPI assigned

Apr 8, 2022

Last updated

Apr 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Ayvazyan, PANPI 1457372542

Title

Physician Assistant

Phone

(818) 723-8804

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Ayvazyan, PA

  • Medical Physician Assistant
  • Glendale, CA
  • NPI 1457372542
  NPD Authorized official
• Andreh Carapiet, M.D.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1649520909
  NPD

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1669114880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 WILSHIRE BLVD # 1004",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112304",
            "telephone_number": "818-758-9588",
            "fax_number": "818-975-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N. CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-758-9588",
            "fax_number": "818-975-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE GERIATRIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "AYVAZYAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "818-723-8804",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Depp Corcorran, MFT
• Dana K Cordova
• Core Alignment Psychotherapy
• Core Care Home Health Inc
• Core Geriatric Medical Group Inc
• Core Geriatric Medical Group LLC
• Core Home Health Agency, Inc.
• Core Hospice Care
• Core Mind Institute, Professional Corporation
• Corebridge ABA Inc

• Internal Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.