Active NPI
Armine Nazaryan, M.D., Medical Clinic,Inc., a Professional Corporation
- General Practice Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A85687
- Legal business name
- ARMINE NAZARYAN, M.D., MEDICAL CLINIC,INC., A PROFESSIONAL CORPORATION
- Practice address
- 221 S Glendale Ave
Glendale, CA 91205-1713 - Phone
- (818) 500-0716
- Fax
- (818) 500-0245
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Armine Nazaryan, M.D.
- Title
- Ceo, Cfo
- Phone
- (818) 500-0716
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A85687 | CA | Primary |
Addresses
Primary practice location
221 S Glendale Ave
Glendale, CA 91205-1713
Mailing address
221 S Glendale Ave
Glendale, CA 91205-1713
Phone (818) 500-0716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1048210 | Armine Nazaryan, MD Medical Clinic Inc | Certificate of waiver | Nov 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
221 S Glendale Ave
Glendale, CA 91205
Phone (818) 500-0716
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1972505444
-
- Family Nurse Practitioner
- Burbank, CA
- NPI 1518748458
-
- Family Medicine Physician
- Pasadena, CA
- NPI 1093576126
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1356581201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248739200000",
"number": "1689715070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 S GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051713",
"telephone_number": "818-500-0716",
"fax_number": "818-500-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 S GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051713",
"telephone_number": "818-500-0716",
"fax_number": "818-500-0245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARMINE NAZARYAN, M.D., MEDICAL CLINIC,INC., A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2009-07-28",
"status": "A",
"authorized_official_last_name": "NAZARYAN",
"authorized_official_first_name": "ARMINE",
"authorized_official_title_or_position": "CEO, CFO",
"authorized_official_telephone_number": "818-500-0716",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A85687",
"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 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.