Organization Active NPI

Arman Petrosyan D.D.S. Inc

  • Dentist
  • San Fernando, CA
National Provider Identifier
1699968149
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51129 Issued in CA
Legal business name
ARMAN PETROSYAN D.D.S. INC
Practice address
1009 Glenoaks Blvd
San Fernando, CA 91340-1436
Phone
(818) 361-3889
Fax
(818) 361-6280
NPI assigned
Aug 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Arman Petrosyan, D.D.S.NPI 1285776245
Title
President
Phone
(213) 448-1779

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 51129 CA Primary

Addresses

Primary practice location

1009 Glenoaks Blvd
San Fernando, CA 91340-1436

Mailing address

1009 Glenoaks Blvd
San Fernando, CA 91340-1436
Phone (818) 361-3889

National Provider Directory

National Provider Directory

Locations

1009 Glenoaks Blvd
San Fernando, CA 91340
Phone (818) 281-6148

2040 Glenoaks Blvd
Ste F
San Fernando, CA 91340
Phone (818) 361-3889

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1699968149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 GLENOAKS BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401436",
            "telephone_number": "818-361-3889",
            "fax_number": "818-361-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 GLENOAKS BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401436",
            "telephone_number": "818-361-3889",
            "fax_number": "818-361-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMAN PETROSYAN D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-18",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-448-1779",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "51129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.