Active NPI
Armen Ambarachyan, DDS
- General Practice Dentistry
- Burbank, CA
National Provider Identifier
1710065719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 51039
- Practice address
- 216 E Alameda Ave
Burbank, CA 91502-1508 - Phone
- (818) 848-3026
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 51039 | CA | Primary |
Addresses
Primary practice location
216 E Alameda Ave
Burbank, CA 91502-1508
Mailing address
216 E Alameda Ave
Burbank, CA 91502-1508
Phone (818) 848-3026
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9373901 | Other | CA | DENTICAL |
| 013438 | Other | CA | DELTACARE USA |
| HN59910 | Other | CA | SAFEGUARD HMO |
| 22750 | Other | CA | PACIFICARE |
| 203213901 | Other | CA | PPO INSURANCES |
| 239118 | Other | CA | CIGNA |
| 1815321 | Other | CA | UCCI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200120000010 | CA | Practitioner - Dentist | 4486088770 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51039 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1710065719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 E ALAMEDA AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021508",
"telephone_number": "818-848-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 E ALAMEDA AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021508",
"telephone_number": "818-848-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBARACHYAN",
"first_name": "ARMEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2023-12-05",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "G9373901",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTACARE USA",
"identifier": "013438",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD HMO",
"identifier": "HN59910",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "22750",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO INSURANCES",
"identifier": "203213901",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "239118",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCCI",
"identifier": "1815321",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.