Amalia a. Armenta, MD, Apc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A80646 Issued in CA

Legal business name

AMALIA A. ARMENTA, MD, APC

Practice address

3600 N. Verdugo Blvd
Ste. #301
Glendale, CA 91208-1219

Phone

(818) 952-3075

Fax

(310) 952-5572

NPI assigned

Dec 19, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Amalia Armenta, M.D.NPI 1902959240

Title

Ceo

Phone

(818) 952-3075

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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

• Amalia A Armenta, MD

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1902959240
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1790921872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N. VERDUGO BLVD.",
            "address_2": "STE. #301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081219",
            "telephone_number": "818-952-3075",
            "fax_number": "310-952-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N. VERDUGO BLVD",
            "address_2": "STE. #301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081219",
            "telephone_number": "818-952-3075",
            "fax_number": "310-952-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMALIA A. ARMENTA, MD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "ARMENTA",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-952-3075",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A80646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE",
            "identifier": "05D1060948",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tatevik Tina Ambartsoumian, FNP
• Aileen Ambartsumyan, FNP
• Tiran Ambartsumyan, PSY. D
• Ambiance Transportation Co LLC
• Abigail Ambriz

• Primary Care Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.