Ara Tavitian, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G63489 Issued in CA

Practice address

801 S Chevy Chase Drive
#30
Glendale, CA 91205

Phone

(818) 265-2232

Fax

(818) 450-0438

NPI assigned

Apr 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Comprehensive Community Health Centers, Inc

  • Family Medicine Physician
  • Arleta, CA
  • NPI 1346951654
  NPD (past)
• Rancho Cucamonga Community Hospital, LLC

  dba Rancho Specialty Hospital

  • General Acute Care Hospital
  • Rancho Cucamonga, CA
  • NPI 1568578110
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1922063759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DRIVE",
            "address_2": "#30",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-265-2232",
            "fax_number": "818-450-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DRIVE",
            "address_2": "#30",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-265-2232",
            "fax_number": "818-450-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVITIAN",
        "first_name": "ARA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G63489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne A. Taubenfeld, PH.D.
• Tavakalyan Podiatry PC
• Julissa Marie Gutierrez Tavarez
• Lilit Tavatyan, NP
• Tavitian Gastroenterology Medical Group Inc.
• Armineh Tavitian, M.D.
• Avedis Tavitian, M.D.
• Lim L Taw, M.D.
• Jennifer J Tayko
• Christine Brinn Taylor, LMFT

• Gastroenterology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.