Individual provider Active NPI

Emanouel Baghoumian

  • Counselor
  • Burbank, CA
National Provider Identifier
1689248163
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
274 W Verdugo Ave Apt 307
Burbank, CA 91502-2879
Phone
(818) 635-2559
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CA
Counselor 101Y00000X Primary

Addresses

Primary practice location

274 W Verdugo Ave Apt 307
Burbank, CA 91502-2879

Mailing address

274 W Verdugo Ave Apt 307
Burbank, CA 91502-2879
Phone (818) 635-2559

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

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1689248163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 W VERDUGO AVE APT 307",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022879",
            "telephone_number": "818-635-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W VERDUGO AVE APT 307",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022879",
            "telephone_number": "818-635-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHOUMIAN",
        "first_name": "EMANOUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.