Alexander S Gureghian, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1167087

Practice address

6595 Provence Rd
San Gabriel, CA 91775-1741

Phone

(626) 215-5511

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Andy Shen, M.D., Inc.

  dba Shen Medical Group

  • Emergency Medicine Physician
  • Alhambra, CA
  • NPI 1457427221
  Medicare reassignment
• Emergency Physicians of San Gabriel Valley

  • Emergency Medicine Physician
  • San Gabriel, CA
  • NPI 1366021834
  Medicare reassignment
• Team Physicians of Southern California Medical Group, Inc.

  • Emergency Medicine Physician
  • Oceanside, CA
  • NPI 1225499015
  Medicare reassignment

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1932715059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 PROVENCE RD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751741",
            "telephone_number": "626-215-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 PROVENCE RD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751741",
            "telephone_number": "626-215-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUREGHIAN",
        "first_name": "ALEXANDER",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1167087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Gregorious
• Jasmine Florence Grigsby
• Dustin Griner, CRNA
• Nikki Gruver, MA, APCC
• Eric K Gupta, PHARM.D.
• Mariana Gutierrez
• Bruce CHI Trung Ha, DPT
• Hai-Sou Chen, DDS, a Professional Corp.
• Suzan Hakim, RPH
• Trinh T Hang

• Physician Assistant in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.