Organization Active NPI

Peter H Ashjian MD a Medical Corp

  • Surgery of the Hand (Plastic Surgery) Physician
  • Glendale, CA
National Provider Identifier
1750618237
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
Legal business name
PETER H ASHJIAN MD A MEDICAL CORP
Practice address
240 S Jackson St Ste 109
Glendale, CA 91205-1594
Phone
(818) 241-9611
Fax
(818) 302-1699
NPI assigned
Nov 4, 2009
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Dr. Peter Henry Ashjian, M.D.NPI 1801979620
Title
President
Phone
(310) 806-0432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X Primary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X

Addresses

Primary practice location

240 S Jackson St Ste 109
Glendale, CA 91205-1594

Mailing address

240 S Jackson St Ste 109
Glendale, CA 91205-1594
Phone (818) 241-9611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091022000236 CA Part B Supplier - Clinic/Group Practice 5597802603 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA; Glendale, CA

National Provider Directory

National Provider Directory

Locations

1158 26th St
#437
Santa Monica, CA 90403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1750618237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S JACKSON ST STE 109",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051594",
            "telephone_number": "818-241-9611",
            "fax_number": "818-302-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S JACKSON ST STE 109",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051594",
            "telephone_number": "818-241-9611",
            "fax_number": "818-302-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER H ASHJIAN MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "ASHJIAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-806-0432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "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 May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.