Organization Active NPI

Ighia Aintablian MD a Professional Corporation

  • Pediatric Adolescent Medicine Physician
  • Glendale, CA
National Provider Identifier
1750770608
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A420471 Issued in CA
Legal business name
IGHIA AINTABLIAN MD A PROFESSIONAL CORPORATION
Practice address
1510 S Central Ave Ste 450
Glendale, CA 91204-2510
Phone
(818) 500-8822
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Dr. Ighia Aintablian, M.D.
Title
Physician
Phone
(818) 500-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X A420471 CA Primary

Addresses

Primary practice location

1510 S Central Ave Ste 450
Glendale, CA 91204-2510

Mailing address

1510 S Central Ave Ste 450
Glendale, CA 91204-2510
Phone (818) 500-8822

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0926666Ighia Aintablian, MD1510 S Central Ave, Suite 450, Glendale, CA 91204Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1510 S Central Ave
Ste 450
Glendale, CA 91204
Phone (818) 500-8822

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1750770608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 450",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042510",
            "telephone_number": "818-500-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 450",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042510",
            "telephone_number": "818-500-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGHIA AINTABLIAN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "AINTABLIAN",
        "authorized_official_first_name": "IGHIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-500-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A420471",
            "primary": true
        }
    ],
    "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 Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.