Active NPI
Garnik Gary Ghazaryan
- Dietary Manager
- Los Angeles, CA
National Provider Identifier
1730637299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dietary Manager
- Practice address
- 765 W College St
Los Angeles, CA 90012-1181 - Phone
- (213) 580-7200
- NPI assigned
- Sep 13, 2016
- 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 |
|---|---|---|---|---|
| Dietary Manager | 132700000X | Primary |
Addresses
Primary practice location
765 W College St
Los Angeles, CA 90012-1181
Mailing address
11107 Arminta St Apt 7
Sun Valley, CA 91352-4473
Phone (323) 491-0607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1730637299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11107 ARMINTA ST APT 7",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "913524473",
"telephone_number": "323-491-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 W COLLEGE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900121181",
"telephone_number": "213-580-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAZARYAN",
"first_name": "GARNIK",
"middle_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.