ANDRE ANDRESIAN,M.D., F.A.C.C.
NPI 1366640096
Internal Medicine - Cardiovascular Disease in Covina, CA

Active since July 03, 2007
420 N 4TH AVE, COVINA, CA 91723(626) 331-6663(626) 339-8132 Get Directions Write a Review

NPPES record last updated: February 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andre Andresian,m.d., F.a.c.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE ANDRESIAN,M.D., F.A.C.C. (NPI 1366640096) is a healthcare organization registered as a cardiovascular disease in Covina, California and active in the NPI registry since July 2007. The organization lists Susanne Andresian, Rn, as its authorized official.

NPPES Registry Identity

NPI1366640096
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameANDRE ANDRESIAN,M.D., F.A.C.C.
Location Address420 N 4TH AVECovina, CA 91723-1835
Mailing Address420 N 4th AveCovina, CA 91723-1835 · (626) 331-6663 · Fax (626) 339-8132
Fax(626) 339-8132
Organization SubpartNo
Authorized OfficialSusanne AndresianRn · (626) 331-6663
Enumeration DateJuly 3, 2007
Last NPPES UpdateFebruary 11, 2011
NPI 1366640096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A25075
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
420 N 4TH AVE, Covina, CA 91723

Other Identifiers 2

Medicare ID-Type UnspecifiedW10650CA
Medicare UPINE50876CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
420 N 4TH AVE
COVINA, CA 91723

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Andresian,m.D., F.A.C.C.'s NPI number?

The NPI number for Andre Andresian,m.D., F.A.C.C. is 1366640096. It was assigned to this organization in the NPPES registry on July 3, 2007.

Where is Andre Andresian,m.D., F.A.C.C. located?

Andre Andresian,m.D., F.A.C.C. is located at 420 N 4th Ave, Covina, CA 91723. The listed phone number is (626) 331-6663.

What is Andre Andresian,m.D., F.A.C.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Andre Andresian,m.D., F.A.C.C. was last updated on February 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.