Prime Medical Management

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRIME MEDICAL MANAGEMENT

Practice address

800 S Central Ave Ste 301
Glendale, CA 91204-4388

Phone

(747) 215-8746

NPI assigned

Sep 23, 2025

Organization subpart

No

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

Authorized official

Name

Karen Avetisyan

Title

Ceo

Phone

(747) 215-8746

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Edik Avetyan, FNP-C

  • Family Nurse Practitioner
  • Walnut, CA
  • NPI 1437771276
  Medicare reassignment NPD

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1821960352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044388",
            "telephone_number": "747-215-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044388",
            "telephone_number": "747-215-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-215-8746"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Care Hospice Inc
• Prime Family Clinic Inc
• Prime Foot Care
• Prime Home Health Inc
• Prime Imaging Inc
• Prime Medical Supplies Inc.
• Prime Nest Home Health Care
• Prime Path Medical Group MD
• Prime Performance Chiropractic by Karamkhodian Patrick Inc
• Prime Pro Home Health

• 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 Sep 23, 2025; 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.