Marat Gevorgyan

Individual provider Active NPI Basic Emergency Medical Technician · Burbank, CA

NPI 1790693083 · NPPES record last updated Aug 28, 2026

Key facts

NPI
1790693083
Entity type
Individual (NPI type 1)
Primary specialty
Basic Emergency Medical Technician 146N00000X
License
E188861 (CA)
Practice address
1014 E Elmwood Ave
Burbank, CA 91501-1534
Phone
(818) 331-3786
NPI assigned
Aug 28, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X E188861 CA Yes

Addresses

Primary practice location

1014 E Elmwood Ave
Burbank, CA 91501-1534

Mailing address

1014 E Elmwood Ave
Burbank, CA 91501-1534
Phone (818) 331-3786

Other providers in Burbank, CA

All providers in Burbank, CA · Basic Emergency Medical Technician in California

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.