Alfret Moradian MD,a Medical Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A104840 Issued in CA

Legal business name

ALFRET MORADIAN MD,A MEDICAL CORPORATION

Practice address

1101 N Pacific Ave
Suite 102
Glendale, CA 91202-3250

Phone

(818) 244-9929

Fax

(818) 244-9922

NPI assigned

Jul 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Alfret Moradian, M.D.NPI 1336303718

Title

Owner

Phone

(818) 244-9929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Alfret Moradian, M.D

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1336303718
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1962632844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023250",
            "telephone_number": "818-244-9929",
            "fax_number": "818-244-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N PACIFIC AVE",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023250",
            "telephone_number": "818-244-9929",
            "fax_number": "818-244-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRET MORADIAN MD,A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-25",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "MORADIAN",
        "authorized_official_first_name": "ALFRET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-244-9929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A104840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.