DAVID GRIGOR DAVTYAN (NPI# 1184647729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184647729 |
| Entity Type | Individual |
| Full Name | DAVID GRIGOR DAVTYAN |
| Credential | MD |
| Practice Address |
1141 N Brand Blvd Ste 406 Glendale CA 91202 |
| Mailing Address |
1141 N Brand Blvd Ste 406 Glendale CA 91202-3658 |
| Practice Telephone | 8185461500 |
| Practice Fax Number | 8185461501 |
| Mailing Telephone | 8185461500 |
| Mailing Fax Number | 8185461501 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | G70030 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 436 N Bedford Dr Ste 207, Beverly Hills, CA 902104312 | 3106521777 | 8185461501 |
| Street Address |
1141 N BRAND BLVD STE 406 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
| 1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
| 1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
| 1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
| 1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
| 1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
| 1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
| 1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
| 1669624219 | Marine Demirjian | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202 | 2008-10-15 |
| 1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
| Find all providers in zip 91202 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444623 | Skilled Physicians Group | Surgery | 3747 Foothill Blvd # B140, Glendale, CA 91214-1700 | 2019-12-12 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| 1740594761 | Joseph Anthony Dipasquale | Surgery | 18028 N 55th Ave, Glendale, AZ 85308-1302 | 2010-08-02 |
| 1538391479 | Chaparral Surgical Specialists.ltd | Surgery | 4601 W Bryce Ln, Glendale, AZ 85301-1626 | 2009-08-11 |
| 1942437629 | Moshe Barnajian | Surgery | 222 W Eulalia St Ste 100a, Glendale, CA 91204-2850 | 2009-06-19 |
| 1164699906 | Karthik Raghavan | Surgery | 5700 W Olive Ave Ste 106, Glendale, AZ 85302-3147 | 2008-05-12 |
| 1326186636 | David G Davtyan Md Inc A Professional Medicalcorp | Surgery | 1141 N Brand Blvd Ste 300, Glendale, CA 91202-2578 | 2007-02-01 |
| 1619037405 | Wan-lin Horng | Surgery | 20325 N 51st Ave Ste 102, Glendale, AZ 85308-5665 | 2006-12-11 |
| 1972690899 | Med-pro Family Clinic, A Medical Corporation | Surgery | 221 E. Glenoaks Blvd., 130, Glendale, CA 91207 | 2006-10-10 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.