Active NPI
Alexander G Gevorgyan MD Inc
Doing business as Neurospine Centers
- Medical Specialty Clinic/Center
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- A133154
- Legal business name
- ALEXANDER G GEVORGYAN MD INC
- Doing business as
- Neurospine Centers
- Practice address
- 1332 S Glendale Ave
Glendale, CA 91205-3349 - Phone
- (818) 649-9232
- Fax
- (818) 696-0922
- NPI assigned
- Nov 28, 2017
- Last updated
- Nov 28, 2018
- 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. Alexander G Gevorgyan, MD
- Title
- Ceo - Physician
- Phone
- (818) 649-9232
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 |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | A133154 | CA | Primary |
Addresses
Primary practice location
1332 S Glendale Ave
Glendale, CA 91205-3349
Mailing address
1332 S Glendale Ave
Glendale, CA 91205-3349
Phone (818) 649-9232
Other practice location 1
1451 E Chevy Chase Dr Ste 201
Glendale, CA 91206-4056
Phone (818) 265-2245
Other names 1
- Neurospine Centers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180109001632 | CA | Part B Supplier - Clinic/Group Practice | 0244599785 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: Glendale, CA; Santa Clarita, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Neurospine Centers
- Neurology Physician
- Santa Clarita, CA
- NPI 1245939719
O20180109001632
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 |
|---|---|---|---|
| 05D2166541 | Alexander G Gevorgyan, MD Inc | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Neurophysiology Physician
- Glendale, CA
- NPI 1346504628
-
- Family Nurse Practitioner
- Glendale, CA
- NPI 1972292761
-
- Rheumatology Physician
- Los Angeles, CA
- NPI 1417441494
-
- Medical Physician Assistant
- Burbank, CA
- NPI 1376735126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543363200000",
"number": "1699289660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 S GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912053349",
"telephone_number": "818-649-9232",
"fax_number": "818-696-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 S GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912053349",
"telephone_number": "818-649-9232",
"fax_number": "818-696-0922"
}
],
"practiceLocations": [
{
"address_1": "1451 E Chevy Chase Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912064056",
"country_code": "US",
"telephone_number": "818-265-2245",
"fax_number": "877-575-9782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALEXANDER G GEVORGYAN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-28",
"last_updated": "2018-11-28",
"status": "A",
"authorized_official_last_name": "GEVORGYAN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO - PHYSICIAN",
"authorized_official_telephone_number": "818-649-9232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "A133154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Neurospine Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
- Alen Zehnaly, M.D., a Medical Corporation
- Alenoush Baghdasaryan,D.D.S., a Professional Dental Corporation
- Aleracare Medical Group of California, a Medical Corporation
- Aleve Hospice Care,Inc.
- Alex Nourian M.D., Inc.
- Alexandra Belopolskaya MD Inc
- Mania Sophia Alexandrian, NP
- Tina Alexandrian, PSY.D.
- Ruzanna Alexanian, M.D.
- Saril Alexsanian
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.