NPIMap

Individual provider Active NPI

Armine Nazaryan, M.D.

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1972505444
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A 85687 Issued in CA
Practice address
221 S Glendale Ave
Glendale, CA 91205-1713
Phone
(818) 500-0716
Fax
(818) 500-0245
NPI assigned
Aug 13, 2005
Last updated
Jul 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A 85687 CA Primary

Addresses

Primary practice location

221 S Glendale Ave
Glendale, CA 91205-1713

Mailing address

221 S Glendale Ave
Glendale, CA 91205-1713
Phone (818) 500-0716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728001257 CA Practitioner - General PracticePractitioner - Pediatric Medicine 6901834183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pediatric Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

221 S Glendale Ave
Glendale, CA 91205-1713
Phone (818) 500-0716

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A 85687CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Armine Nazaryan, M.D., Medical Clinic,Inc., a Professional Corporation CurrentSince May 4, 2009 Accepting new patients
Cognacare Neurologic, Inc CurrentSince Aug 1, 2025 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients

Locations

1451 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 265-2245

221 S Glendale Ave
Glendale, CA 91205
Phone (818) 500-0716

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: anazaryan@anazaryan.officeally.direct

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1972505444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051713",
            "telephone_number": "818-500-0716",
            "fax_number": "818-500-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051713",
            "telephone_number": "818-500-0716",
            "fax_number": "818-500-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARYAN",
        "first_name": "ARMINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-13",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A 85687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.