Active NPI
Pierre Manukian, M.D.
- Family Medicine Physician
- Burbank, CA
National Provider Identifier
1942448220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A100998
- Practice address
- 1624 W Olive Ave
Suite F
Burbank, CA 91506-2459 - Phone
- (818) 736-5553
- Fax
- (818) 875-1563
- NPI assigned
- Jan 26, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A100998 | CA | Primary |
Addresses
Primary practice location
1624 W Olive Ave
Suite F
Burbank, CA 91506-2459
Mailing address
1624 W Olive Ave
Suite F
Burbank, CA 91506-2459
Phone (818) 736-5553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100998 | CA | MD | Marriage & Family Therapist |
| A100998 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Past | Accepting new patients | |
| Regents of the University of California | Family Medicine | Past | Accepting new patients |
| Motion Picture and Television Fund Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- pierre.manukian.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 3
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.
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- Woodland Hills, CA
- NPI 1083063127
-
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- Glendale, CA
- NPI 1891110888
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1942448220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 W OLIVE AVE",
"address_2": "SUITE F",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062459",
"telephone_number": "818-736-5553",
"fax_number": "818-875-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 W OLIVE AVE",
"address_2": "SUITE F",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062459",
"telephone_number": "818-736-5553",
"fax_number": "818-875-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUKIAN",
"first_name": "PIERRE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-26",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A100998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.