Nishan W. Matossian, D.D.S

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

37449 Issued in CA

Legal business name

NISHAN W. MATOSSIAN, D.D.S

Practice address

43845 10TH St W Ste 1a
Lancaster, CA 93534-4800

Phone

(661) 948-9646

NPI assigned

Oct 19, 2011

Last updated

Oct 19, 2011By 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

Mrs. Sara Juliette Boyadjian

Title

Manager

Phone

(818) 888-2700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1861777062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43845 10TH ST W STE 1A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344800",
            "telephone_number": "661-948-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43845 10TH ST W STE 1A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344800",
            "telephone_number": "661-948-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHAN W. MATOSSIAN, D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "BOYADJIAN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "JULIETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-888-2700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "37449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.