Raffi Malkounian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45144 Issued in CA

Practice address

1330 Sinaloa Ave
Suite#201
Pasadena, CA 91104-3161

Phone

(626) 794-0620

NPI assigned

Jul 19, 2007

Last updated

Jul 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Raffi Malkounian Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raffi Malkounian DDS, Inc.

  • Dental Clinic/Center
  • Pasadena, CA
  • NPI 1235284118
  Authorized official Same address or phone

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1871793620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SINALOA AVE",
            "address_2": "SUITE#201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043161",
            "telephone_number": "626-794-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SINALOA AVE",
            "address_2": "SUITE#201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043161",
            "telephone_number": "626-794-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKOUNIAN",
        "first_name": "RAFFI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFFI",
            "last_name": "MALKOUNIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shaun Malek, D.D.S.
• Mattea Malerba
• George L Malijen Jr.
• Joy Radha Malik-Hasbrook, PSYD
• Edwina Mendoza Maling, BA
• Sophia Mall
• Joanne Mallory
• Gweneth Delilah Malmquist, LE
• Anahid Maloyan, PHD, LMFT
• Virginia Malta Lopez

• General Practice Dentistry in Pasadena, CA
• Providers in Pasadena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.