Marine Demirjian, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

A111311 Issued in CA

Practice address

1131 N Pacific Ave
Glendale, CA 91202

Phone

(818) 558-5828

Fax

(888) 717-1542

NPI assigned

Oct 15, 2008

Last updated

Dec 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

University of California, Geffen School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Allergy and Asthma Treatment Center P CGroup PAC ID 8022249762, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy and Asthma Treatment Center P C

  • Allergy & Immunology Physician
  • Glendale, CA
  • NPI 1225467590
  Medicare reassignment Care Compare group NPD Authorized official
• Allergy and Asthma Specialist Doctors, Inc.

  • Allergy & Immunology Physician
  • Pasadena, CA
  • NPI 1245794866
  Medicare reassignment NPD Authorized official
• Frederick Ho, M.D. a Prof. Corporation

  • Specialist
  • Pasadena, CA
  • NPI 1831364462
  NPD

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1669624219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022358",
            "telephone_number": "818-558-5828",
            "fax_number": "888-717-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91202",
            "telephone_number": "818-558-5828",
            "fax_number": "888-717-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIRJIAN",
        "first_name": "MARINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A111311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Demaree
• Elise Demerdjian, LCSW
• Valerie Alejandra Demeza
• Marianne C Demirdji, DDS, MS
• Andrew Jack Demirdjian, LCSW
• Palig Demirjian
• Mona Denha
• Margaret Denison
• Dennis Brotman Marriage and Family Therapist Inc (Los Feliz Counseling Group)
• Kathleen J Dennis-Zarate, M.D.

• Allergy Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.