ARMEN NERCESSIAN DO INC (NPI# 1417496332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417496332 |
| Entity Type | Organization |
| Organization Name | ARMEN NERCESSIAN DO INC |
| Practice Address |
1710 E Washington Blvd Pasadena CA 91104-2751 |
| Practice Telephone | 6263459022 |
| Practice Fax Number | 6263459019 |
| Mailing Telephone | 6263459022 |
| Mailing Fax Number | 6263459019 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | DR. ARMEN YEGHIA NERCESSIAN (PRESIDENT/ OWNER) |
| Authorized Official Telephone | 6263459022 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20A6784 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023390770 | Armen Nercessian Do Inc | General Practice | 1122 N Brand Blvd Ste 101, Glendale, CA 91202-2571 | 2011-09-19 |
| Street Address |
1710 E WASHINGTON BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-2751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982230777 | 1st Behavioral Health Group LLC | General Practice | 3219 Burke Rd Unit B-1, Pasadena, TX 77504-1896 | 2020-03-12 |
| 1295156925 | Spinks Home Visits Mht LLC | General Practice | 6842 Cedar Lawn Cir, Pasadena, TX 77505-4304 | 2013-12-24 |
| 1215364815 | Victor Hamasaki | General Practice | 1245 Cordova St Apt 203, Pasadena, CA 91106-3140 | 2013-09-27 |
| 1720422447 | Hmayak Manasyan | General Practice | 1712 E Colorado Blvd, Pasadena, CA 91201 | 2013-04-24 |
| 1124365499 | Richard Ingram Feinberg | General Practice | 945 Hillcrest Pl, Pasadena, CA 91106-4500 | 2013-01-07 |
| 1720232481 | Adria Joan Brofman | General Practice | 92 N. Madison Ave., Ste 1, Pasadena, CA 91101 | 2008-11-07 |
| 1952498784 | James T Ho | General Practice | 3579 E Foothill Blvd, #516, Pasadena, CA 91107-3119 | 2006-10-05 |
| 1669417846 | Urmil Dhanda | General Practice | 8028 Ritchie Highway, Suite 114, Pasadena, MD 21122-1020 | 2006-06-19 |
| 1609811686 | Thomas Hanson | General Practice | 155 N Lake Ave, Ste 800, Pasadena, CA 91101-1857 | 2006-06-16 |
| 1811514177 | Invictus Mental Health Center, LLC | General Practice | 3219 Burke Rd Unit B-1, Pasadena, TX 77504-1896 | 2020-07-02 |
| Find all providers in PASADENA | ||||
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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.