Organization Active NPI

Nephrology and Hypertension Consultants Burbank Inc

  • Nephrology Physician
  • Burbank, CA
National Provider Identifier
1780371005
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY AND HYPERTENSION CONSULTANTS BURBANK INC
Practice address
2211 W Magnolia Blvd Ste 210
Burbank, CA 91506-1771
Phone
(818) 848-5595
Fax
(818) 848-5749
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Maria Mikoyan
Title
Office Manager
Phone
(818) 848-5595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2211 W Magnolia Blvd Ste 210
Burbank, CA 91506-1771

Mailing address

5682 Holly Oak Dr
Los Angeles, CA 90068-2522
Phone (818) 848-5595

Other practice location 1

1030 S Glendale Ave Ste 200
Glendale, CA 91205-2866
Phone (818) 848-5595

Other names 1

  • N/A Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230615003430 CA Part B Supplier - Clinic/Group Practice 9931567302 Receives reassigned benefits from 2 practitioners
Practice locations: Burbank, CA; Glendale, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1780371005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5682 HOLLY OAK DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682522",
            "telephone_number": "818-848-5595",
            "fax_number": "818-848-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD STE 210",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061771",
            "telephone_number": "818-848-5595",
            "fax_number": "818-848-5749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 S Glendale Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912052866",
            "country_code": "US",
            "telephone_number": "818-848-5595",
            "fax_number": "818-848-5749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEPHROLOGY AND HYPERTENSION CONSULTANTS BURBANK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "MIKOYAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-848-5595"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.