Organization Active NPI

Mobile Rapid Recovery Inc

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1831947647
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOBILE RAPID RECOVERY INC
Practice address
130 W Eulalia St Ste 101
Glendale, CA 91204-2806
Phone
(747) 240-4860
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Haroutyoun Ashkharian
Title
Ceo
Phone
(818) 858-4449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

130 W Eulalia St Ste 101
Glendale, CA 91204-2806

Mailing address

130 W Eulalia St Ste 101
Glendale, CA 91204-2806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240621002471 CA Part B Supplier - Clinic/Group Practice 8820531569 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

130 W Eulalia St
Glendale, CA 91204
Phone (818) 548-3588

130 W Eulalia St
Ste 101
Glendale, CA 91204
Phone (747) 240-4860

Practitioners & affiliated clinicians

Practitioners 1

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": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1831947647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W EULALIA ST STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W EULALIA ST STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042806",
            "telephone_number": "747-240-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE RAPID RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "ASHKHARIAN",
        "authorized_official_first_name": "HAROUTYOUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-858-4449"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.