Individual provider Active NPI

Anna Ghazanchyan, RDCS, RVT

  • Sonography Specialist/Technologist Cardiovascular
  • Glendale, CA
National Provider Identifier
1750511804
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
107565 Issued in CA
Practice address
1351 Elm Ave
Glendale, CA 91201-1111
Phone
(818) 240-7744
Fax
(818) 240-7755
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X 107565 CA Primary
Vascular Sonography Radiologic Technologist 2471V0105X 107565 CA

Addresses

Primary practice location

1351 Elm Ave
Glendale, CA 91201-1111

Mailing address

1351 Elm Ave
Glendale, CA 91201-1111
Phone (818) 240-7744

Other practice location 1

801 S Chevy Chase Dr
Suite 60
Glendale, CA 91205-4431
Phone (818) 240-7744

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

State licenses

LicenseStateTypeSpecialty
107565CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Diagnostic Imaging Center, Inc Current Accepting new patients

Locations

1030 S Glendale Ave
Ste 405
Glendale, CA 91205
Phone (818) 241-4162

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1750511804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 ELM AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011111",
            "telephone_number": "818-240-7744",
            "fax_number": "818-240-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 ELM AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011111",
            "telephone_number": "818-240-7744",
            "fax_number": "818-240-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Chevy Chase Dr",
            "address_2": "SUITE 60",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912054431",
            "country_code": "US",
            "telephone_number": "818-240-7744",
            "fax_number": "818-240-7755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAZANCHYAN",
        "first_name": "ANNA",
        "credential": "RDCS, RVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "CA",
            "license": "107565",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "CA",
            "license": "107565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.