Ghazaryan MD Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GHAZARYAN MD INC

Practice address

1100 E Broadway Ste 205
Glendale, CA 91205-2490

Phone

(818) 453-5192

Fax

(818) 452-0716

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Gevorg Ghazaryan, MDNPI 1629288329

Title

Ceo

Phone

(818) 453-5192

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Gevorg Ghazaryan, MD

  • Hospitalist Physician
  • Glendale, CA
  • NPI 1629288329
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717891200000",
    "number": "1750008124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052490",
            "telephone_number": "818-453-5192",
            "fax_number": "818-452-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E BROADWAY STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052490",
            "telephone_number": "818-453-5192",
            "fax_number": "818-452-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAZARYAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A",
        "authorized_official_last_name": "GHAZARYAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-453-5192",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armineh Ghazarian, LAC.,
• Erineh Ghazarian
• Kristine Ghazarian, FNP
• Nick Ghazarian, D.O
• Stella Silve Ghazarian, PSYD
• Araks Ghazaryan, OD
• Gevorg Ghazaryan, MD
• Hamest Ghazaryan
• Kristina Ghazaryan
• Meline Ghazaryan, DO

• Health Service Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.