S. Salmastyan, M.D., Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A132643 Issued in CA

Legal business name

S. SALMASTYAN, M.D., CORP

Practice address

435 Arden Ave
Suite 450
Glendale, CA 91203-1130

Phone

(818) 241-4129

Fax

(818) 241-0472

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Siranuysh Salmastyan, MD

Title

President

Phone

(818) 645-0704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1902252364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E HARVARD ST",
            "address_2": "2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051156",
            "telephone_number": "818-645-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "SUITE 450",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-241-4129",
            "fax_number": "818-241-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. SALMASTYAN, M.D., CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "SALMASTYAN",
        "authorized_official_first_name": "SIRANUYSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-645-0704",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A132643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.