Individual provider Active NPI

Arevik Karamyan

  • Student Health Clinic/Center
  • Santa Clarita, CA
National Provider Identifier
1730702291
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Practice address
17702 Sierra Hwy
Santa Clarita, CA 91351-1635
Phone
(243) 936-7764
NPI assigned
May 19, 2020
Reactivated
Jun 6, 2024
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X CA Primary

Addresses

Primary practice location

17702 Sierra Hwy
Santa Clarita, CA 91351-1635

Mailing address

19981 Soledad Canyon Rd
Santa Clarita, CA 91351-2626
Phone (661) 360-7730

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacc Medical Supply Inc Current Accepting new patients
Benevolent Mental Health Services Current Accepting new patients
Pure Autism Counseling Center Inc CurrentSince May 1, 2020 Accepting new patients

Locations

17702 Sierra Hwy
Santa Clarita, CA 91351
Phone (888) 770-5222

19981 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 360-7730

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19641/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1730702291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19981 SOLEDAD CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913512626",
            "telephone_number": "661-360-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17702 SIERRA HWY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511635",
            "telephone_number": "243-936-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAMYAN",
        "first_name": "AREVIK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "deactivation_date": "2022-02-08",
        "reactivation_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.