David Bostanjian MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DAVID BOSTANJIAN MD INC

Practice address

410 Arden Ave
100
Glendale, CA 91203-1127

Phone

(818) 500-8466

Fax

(818) 500-9562

NPI assigned

Apr 7, 2009

Organization subpart

No

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

Authorized official

Name

David BostanjianNPI 1639399280

Title

Owner

Phone

(818) 500-8466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• David Bostanjian, M.D.

  • General Practice Physician
  • Glendale, CA
  • NPI 1639399280
  Medicare reassignment NPD Authorized official
• Gaby Jean Abdo, DO

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1356457790
  NPD (past)
• Qian Zhou

  • Acupuncturist
  • Glendale, CA
  • NPI 1578924437
  NPD (past)

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1770726754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ARDEN AVE",
            "address_2": "100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031127",
            "telephone_number": "818-500-8466",
            "fax_number": "818-500-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ARDEN AVE",
            "address_2": "100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031127",
            "telephone_number": "818-500-8466",
            "fax_number": "818-500-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BOSTANJIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "BOSTANJIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-500-8466"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David J. Fuerst, M.D., Inc

• General Practice Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.