Active NPI
Nareh Abrahamian, D.D.S.
- Dentist
- Sun Valley, CA
National Provider Identifier
1689080012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63562
- Practice address
- 8454 Sunland Blvd
Sun Valley, CA 91352-3436 - Phone
- (818) 767-1800
- NPI assigned
- Jul 7, 2014
- Last updated
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 63562 | CA | Primary |
Addresses
Primary practice location
8454 Sunland Blvd
Sun Valley, CA 91352-3436
Mailing address
524 N Orchard Dr
Burbank, CA 91506-1951
Phone (818) 426-3199
Other practice location 1
1031 Justin Ave Apt 108
Glendale, CA 91201-2161
Phone (818) 426-3199
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63562 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abrahamian DDS, Inc. | Current | Accepting new patients | |
| Express Medical Supplies, Inc. | Past | Accepting new patients |
Locations
8454 Sunland Blvd
Sun Valley, CA 91352
Phone (818) 767-1800
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Sun Valley, CA
- NPI 1952934143
-
- Durable Medical Equipment & Medical Supplies
- Sun Valley, CA
- NPI 1669776191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1689080012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 N ORCHARD DR",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061951",
"telephone_number": "818-426-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8454 SUNLAND BLVD",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913523436",
"telephone_number": "818-767-1800"
}
],
"practiceLocations": [
{
"address_1": "1031 Justin Ave Apt 108",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912012161",
"country_code": "US",
"telephone_number": "818-426-3199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAHAMIAN",
"first_name": "NAREH",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-07",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.