Washington Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

A55018 Issued in CA

Legal business name

WASHINGTON MEDICAL GROUP

Practice address

2544 E Washington Blvd
Ste C
Pasadena, CA 91107-1452

Phone

(626) 398-4069

Fax

(626) 798-9041

NPI assigned

Jan 20, 2012

Last updated

Jan 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marina Manvelyan, M.D.NPI 1215925409

Title

President

Phone

(626) 398-4069

Specialties & licenses 2

Addresses

Other names 1

• Washington Healthcare Center Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marina E Manvelyan, MD

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1215925409
  Medicare reassignment Care Compare group NPD Authorized official
• Michael A Avakian, DPM

  • Podiatrist
  • Pasadena, CA
  • NPI 1154335040
  Medicare reassignment Care Compare group NPD
• Christine Griffin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Montebello, CA
  • NPI 1992124655
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1942571047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 E WASHINGTON BLVD",
            "address_2": "STE C",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071452",
            "telephone_number": "626-398-4069",
            "fax_number": "626-798-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 E WASHINGTON BLVD",
            "address_2": "STE C",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071452",
            "telephone_number": "626-398-4069",
            "fax_number": "626-798-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "MANVELYAN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-398-4069",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A55018",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Healthcare Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Triana Warren
• Warrior Physical Therapy Inc
• Jonathan Daniel Warus, MD
• Warwick Physical Therapy, Inc
• Keith Warwick
• Washington Medical Supply
• Washington RX Inc (Washington Pharmacy)
• Adreanna Washington
• Brantynn Washington
• David Washington, LCSW

• Specialist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.