Herach Yadegarian, M.D., a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HERACH YADEGARIAN, M.D., A MEDICAL CORPORATION

Practice address

800 S. Central Ave.
Suite 308
Glendale, CA 91204-4644

Phone

(818) 240-8767

Fax

(818) 502-0254

NPI assigned

Mar 12, 2007

Last updated

Sep 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Herach YadegarianNPI 1124188628

Title

President

Phone

(818) 240-8767

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Herach Yadegarian, M.D.

  • General Practice Physician
  • Glendale, CA
  • NPI 1124188628
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1790817039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S. CENTRAL AVE.",
            "address_2": "SUITE 308",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044644",
            "telephone_number": "818-240-8767",
            "fax_number": "818-502-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S. CENTRAL AVE.",
            "address_2": "SUITE 308",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044644",
            "telephone_number": "818-240-8767",
            "fax_number": "818-502-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERACH YADEGARIAN, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "YADEGARIAN",
        "authorized_official_first_name": "HERACH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-240-8767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Hensley
• Jennifer Marie Hensley, PA-C
• Karen Hentoff, L. AC.
• James Heo
• Hep Pharmacy Inc (Hep-C Pharmacy)
• Jessie Heredia
• Catherine A Hernandez Tellez
• Israel Hernandez-Martinez
• Alan Hernandez
• Carisa Liane Hernandez, FNP-BC

• Family Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.