Organization Active NPI

Aristomed

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1699595538
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ARISTOMED
Practice address
204 E Chevy Chase Dr Ste 2
Glendale, CA 91205-3181
Phone
(747) 215-6767
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Sevak Minassian, MD
Title
Owner/Physician
Phone
(818) 209-2382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

204 E Chevy Chase Dr Ste 2
Glendale, CA 91205-3181

Mailing address

204 E Chevy Chase Dr Ste 2
Glendale, CA 91205-3181
Phone (747) 215-6767

National Provider Directory

National Provider Directory

Locations

204 E Chevy Chase Dr
Ste 2
Glendale, CA 91205
Phone (747) 215-6767

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1699595538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CHEVY CHASE DR STE 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053181",
            "telephone_number": "747-215-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CHEVY CHASE DR STE 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053181",
            "telephone_number": "747-215-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISTOMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "MINASSIAN",
        "authorized_official_first_name": "SEVAK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "818-209-2382",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 15, 2024; 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.