Active NPI
Stella Baghdasarian, D.D.S.
- Dentist
- Glendale, CA
National Provider Identifier
1699000950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39131
- Practice address
- 819 N. Pacific Ave
Glendale, CA 91203 - Phone
- (818) 240-1760
- Fax
- (818) 240-1764
- NPI assigned
- Oct 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 39131 | CA | Primary |
Addresses
Primary practice location
819 N. Pacific Ave
Glendale, CA 91203
Mailing address
819 N. Pacific Ave
Glendale, CA 91203
Phone (818) 240-1760
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39131 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1699000950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 N. PACIFIC AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91203",
"telephone_number": "818-240-1760",
"fax_number": "818-240-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 N. PACIFIC AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91203",
"telephone_number": "818-240-1760",
"fax_number": "818-240-1764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHDASARIAN",
"first_name": "STELLA",
"name_prefix": "Mrs.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39131",
"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 Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.