Organization Active NPI

Susanna Yerzinkian MD

  • Pediatrics Physician
  • Glendale, CA
National Provider Identifier
1962522177
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A40191 Issued in CA
Legal business name
SUSANNA YERZINKIAN MD
Practice address
540 N Central Ave
Suite 301
Glendale, CA 91203-1916
Phone
(818) 242-3916
Fax
(818) 242-4586
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Susanna M Yerzinkian, MD
Title
General Pediatrics
Phone
(818) 242-3916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A40191 CA Primary

Addresses

Primary practice location

540 N Central Ave
Suite 301
Glendale, CA 91203-1916

Mailing address

540 N Central Ave
Suite 301
Glendale, CA 91203-1916
Phone (818) 242-3916

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1962522177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 N CENTRAL AVE",
            "address_2": "SUITE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031916",
            "telephone_number": "818-242-3916",
            "fax_number": "818-242-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N CENTRAL AVE",
            "address_2": "SUITE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031916",
            "telephone_number": "818-242-3916",
            "fax_number": "818-242-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANNA YERZINKIAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "YERZINKIAN",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL PEDIATRICS",
        "authorized_official_telephone_number": "818-242-3916",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A40191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.