Individual provider Active NPI

Pogos Martinyan

  • Clinical Pathology/Laboratory Medicine Physician
  • Westlake Village, CA
National Provider Identifier
1932624145
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
CLF00347739 Issued in CA
Practice address
31344 Via Colinas Ste 104
Westlake Village, CA 91362-6853
Phone
(818) 219-9690
NPI assigned
Aug 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X CLF00347739 CA Primary

Addresses

Primary practice location

31344 Via Colinas Ste 104
Westlake Village, CA 91362-6853

Mailing address

31344 Via Colinas Ste 104
Westlake Village, CA 91362-6853
Phone (818) 219-9690

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
Prime Lab, Inc. CurrentSince Jul 24, 2022 Accepting new patients

Locations

31344 Via Colinas
Ste 104
Westlake Village, CA 91362
Phone (818) 219-9690

Organizations & group practices 1

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1932624145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31344 VIA COLINAS STE 104",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626853",
            "telephone_number": "818-219-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31344 VIA COLINAS STE 104",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626853",
            "telephone_number": "818-219-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINYAN",
        "first_name": "POGOS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "CLF00347739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.