Organization Active NPI

Narek Garukyan DPM

  • Medical Specialty Clinic/Center
  • Glendale, CA
National Provider Identifier
1992202469
Registry record updated Jul 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
E5012 Issued in CA
Legal business name
NAREK GARUKYAN DPM
Practice address
815 E Colorado St Ste 210
Glendale, CA 91205
Phone
(818) 246-3600
NPI assigned
Apr 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2018

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

Authorized official

Name
Dr. 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
Medical Specialty Clinic/Center 261QM2500X E5012 CA Primary

Addresses

Primary practice location

815 E Colorado St Ste 210
Glendale, CA 91205

Mailing address

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

Other practice location 1

110 S Adams St
Glendale, CA 91205-1312
Phone (818) 242-4426

Other practice location 2

7640 Tampa Ave Ste 106
Reseda, CA 91335-1713
Phone (818) 697-8767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180517001216 CA Part B Supplier - Clinic/Group Practice 4688939804 Receives reassigned benefits from 2 practitioners
Practice locations: Reseda, CA; Glendale, 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

1500 E Chevy Chase Dr
Ste 101
Glendale, CA 91206
Phone (818) 265-1581

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": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530921600000",
    "number": "1992202469",
    "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": "815 E COLORADO ST STE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-246-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Adams St",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912051312",
            "country_code": "US",
            "telephone_number": "818-242-4426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7640 Tampa Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913351713",
            "country_code": "US",
            "telephone_number": "818-697-8767",
            "fax_number": "818-697-8776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAREK GARUKYAN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-07-07",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "E5012",
            "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 Jul 7, 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.