Individual provider Active NPI

Yervant G Aslanian, DDS MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Glendale, CA
National Provider Identifier
1720140627
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
39130 Issued in CA
Practice address
418 E Glenoaks Blvd
#204
Glendale, CA 91207-2035
Phone
(818) 247-3317
Fax
(818) 247-0635
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 39130 CA Primary

Addresses

Primary practice location

418 E Glenoaks Blvd
#204
Glendale, CA 91207-2035

Mailing address

418 E Glenoaks Blvd
#204
Glendale, CA 91207-2035
Phone (818) 247-3317

Other identifiers 1

IdentifierTypeStateIssuer
B39130-01MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161214002433 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4587716618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39130CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Yervant G Aslanian, DDS, MD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1720140627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E GLENOAKS BLVD",
            "address_2": "#204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072035",
            "telephone_number": "818-247-3317",
            "fax_number": "818-247-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E GLENOAKS BLVD",
            "address_2": "#204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072035",
            "telephone_number": "818-247-3317",
            "fax_number": "818-247-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASLANIAN",
        "first_name": "YERVANT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "39130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B39130-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.