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GHAZARYAN MD INC
NPI 1750008124
Clinic/Center - Health Service in Glendale, CA

Active since October 25, 2022CLIA 05D2333366 · Waiver
1100 E BROADWAY STE 205, GLENDALE, CA 91205(818) 453-5192(818) 452-0716 Get Directions Write a Review

NPPES record last updated: June 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2024, Oct 25, 2022 (2 updates tracked since 2022).

About Ghazaryan Md Inc NPPES

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

GHAZARYAN MD INC (NPI 1750008124) is a healthcare organization registered as a health service in Glendale, California and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Gevorg Ghazaryan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750008124
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameGHAZARYAN MD INC
Location Address1100 E BROADWAY STE 205Glendale, CA 91205-2490
Mailing Address1100 E Broadway Ste 205Glendale, CA 91205-2490 · (818) 453-5192 · Fax (818) 452-0716
Phone(818) 453-5192
Fax(818) 452-0716
Organization SubpartNo
Authorized OfficialGevorg GhazaryanCeo · (818) 453-5192
Enumeration DateOctober 25, 2022
Last NPPES UpdateJune 9, 20242 updates tracked since enumeration
NPPES CertifiedJune 9, 2024
✔ NPI 1750008124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1100 E BROADWAY STE 205, Glendale, CA 91205
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2333366

Ghazaryan MD Medical Office · Glendale, CA
Active · expires Nov 3, 2027
CLIA Number05D2333366
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorGevorg Ghazaryan
Laboratory Phone(818) 453-5192
Laboratory LocationGhazaryan MD Medical Office1100 E Broadway, Suite 205, Glendale, CA 91205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

GEVORG GHAZARYAN MD
Hospitalist
1100 E BROADWAY STE 205
GLENDALE, CA 91205
Los Angeles County (818) 453-5192

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 Ghazaryan MD Inc's NPI number?

The NPI number for Ghazaryan MD Inc is 1750008124. It was assigned to this organization in the NPPES registry on October 25, 2022.

Where is Ghazaryan MD Inc located?

Ghazaryan MD Inc is located at 1100 E Broadway Ste 205, Glendale, CA 91205. The listed phone number is (818) 453-5192.

What is Ghazaryan MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Ghazaryan MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2333366) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ghazaryan MD Inc was last updated on June 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.