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AXIOGRAFT
NPI 1750264677
Internal Medicine in Glendale, CA

Active since July 29, 2025
815 S CENTRAL AVE STE 11, GLENDALE, CA 91204(818) 325-5090 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Axiograft NPPES

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

AXIOGRAFT (NPI 1750264677) is a healthcare organization registered as an internal medicine in Glendale, California and active in the NPI registry since July 2025. The organization lists Manvel Kondradzhyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750264677
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAXIOGRAFT
Location Address815 S CENTRAL AVE STE 11Glendale, CA 91204-2080
Mailing Address815 S Central Ave Ste 11Glendale, CA 91204-2080 · (818) 325-5090
Phone(818) 325-5090
Organization SubpartNo
Authorized OfficialManvel KondradzhyanCeo · (323) 253-5821
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1750264677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
815 S CENTRAL AVE STE 11, Glendale, CA 91204
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Axiograft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Axiograft, which bills Medicare for the services this clinician delivers.

Clinician (1)

Manvel Kondradzhyan, MD
Internal Medicine
NPI 1568988590
1720 EAST CESAR CHAVEZ AVENUE
Los Angeles, CA 90033
(323) 987-1362
✔ PECOS✔ Accepts Medicare6.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Axiograft's NPI number?

The NPI number for Axiograft is 1750264677. It was assigned to this organization in the NPPES registry on July 29, 2025.

Where is Axiograft located?

Axiograft is located at 815 S Central Ave Ste 11, Glendale, CA 91204. The listed phone number is (818) 325-5090.

What is Axiograft's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Axiograft enrolled in Medicare?

Yes. Axiograft is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Axiograft?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Axiograft. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Axiograft was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.