Individual provider Active NPI

Hasmik Ambartsumyan

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1891870796
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42518 Issued in CA
Practice address
5222 W Sunset Blvd
Los Angeles, CA 90027-5710
Phone
(323) 666-2222
Fax
(323) 666-2170
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42518 CA Primary

Addresses

Primary practice location

5222 W Sunset Blvd
Los Angeles, CA 90027-5710

Mailing address

5262 Los Diegos Way
Los Angeles, CA 90027-1016
Phone (323) 467-6437

Other identifiers 1

IdentifierTypeStateIssuer
B42518OtherCADENTI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Hospice and Palliative Care, Inc. Current Accepting new patients
Hasmik Ambartsumyan Dental Corporation CurrentSince Mar 13, 2022 Accepting new patients

Locations

5222 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 666-2222

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1891870796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5262 LOS DIEGOS WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271016",
            "telephone_number": "323-467-6437",
            "fax_number": "323-666-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275710",
            "telephone_number": "323-666-2222",
            "fax_number": "323-666-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBARTSUMYAN",
        "first_name": "HASMIK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B42518",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.