Jacob R Pogosian

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF333109 Issued in CA

Practice address

5242 San Fernando Rd
Glendale, CA 91203-2439

Phone

(818) 265-0001

Fax

(818) 265-0008

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1932248556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 SAN FERNANDO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032439",
            "telephone_number": "818-265-0001",
            "fax_number": "818-265-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 SAN FERNANDO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032439",
            "telephone_number": "818-265-0001",
            "fax_number": "818-265-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGOSIAN",
        "first_name": "JACOB",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF333109",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "TG516",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "CLF333109",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Poc Laboratory Management, Inc
• Thomas Yarger Pocock, MD
• Andranik Poghosyan, M.D.
• Lilit Poghosyan
• Ani Pogosian
• Edgar Pogossian
• Marine Pogosyan
• Zhanna Pogosyan, M.A., BCBA
• Gerald M. Pohost, MD
• Polar Bear Home Health Inc.

• Clinical Medical Laboratory in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.