Organization Active NPI

Narek Garukyan DPM

  • Foot & Ankle Surgery Podiatrist
  • Reseda, CA
National Provider Identifier
1972083178
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5012 Issued in CA
Legal business name
NAREK GARUKYAN DPM
Practice address
7640 Tampa Ave Ste 106
Reseda, CA 91335-1713
Phone
(818) 697-8767
Fax
(818) 697-8776
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Narek Garukyan, DPMNPI 1528373172
Title
Podiatrist
Phone
(818) 683-4344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E5012 CA Primary

Addresses

Primary practice location

7640 Tampa Ave Ste 106
Reseda, CA 91335-1713

Mailing address

9518 Via Salerno
Burbank, CA 91504-1229
Phone (818) 683-4344

Other names 1

  • LA Foot and Ankle Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180809000711 CA DME Supplier - Physician - Podiatry 4688939804 Practice locations: Reseda, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

815 E Colorado St
Ste 210
Glendale, CA 91205
Phone (818) 409-1780

Practitioners & affiliated clinicians

Practitioners 2

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": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1972083178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 VIA SALERNO",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041229",
            "telephone_number": "818-683-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 TAMPA AVE STE 106",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351713",
            "telephone_number": "818-697-8767",
            "fax_number": "818-697-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAREK GARUKYAN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "GARUKYAN",
        "authorized_official_first_name": "NAREK",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "818-683-4344",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA Foot and Ankle Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.