Individual provider Active NPI

Arnag A. Baboyan, MASSAGE THERAPIST

  • Peer Specialist
  • Glendale, CA
National Provider Identifier
1679256267
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-NLEIGK Issued in CA
Practice address
215 N Kenwood St Apt 308
Glendale, CA 91206-4203
Phone
(818) 524-9397
NPI assigned
Aug 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X HT723100 CA
Massage Therapist 225700000X 82448 CA
Peer Specialist 175T00000X MPSS-NLEIGK CA Primary

Addresses

Primary practice location

215 N Kenwood St Apt 308
Glendale, CA 91206-4203

Mailing address

215 N Kenwood St
Glendale, CA 91206-4248
Phone (818) 524-9397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HT723100CAMDSpecialist
MPSS-NLEIGKCAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1679256267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N KENWOOD ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064248",
            "telephone_number": "818-524-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N KENWOOD ST APT 308",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064203",
            "telephone_number": "818-524-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABOYAN",
        "first_name": "ARNAG",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "HT723100",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "82448",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-NLEIGK",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 10, 2024; 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.