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HERACH YADEGARIAN, M.D., A MEDICAL CORPORATION
NPI 1790817039
Family Medicine in Glendale, CA

Active since March 12, 2007CLIA 05D0911032 · Waiver
800 S. CENTRAL AVE., SUITE 308, GLENDALE, CA 91204(818) 240-8767(818) 502-0254 Get Directions Write a Review

NPPES record last updated: September 9, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Herach Yadegarian, M.d., A Medical Corporation NPPES

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

HERACH YADEGARIAN, M.D., A MEDICAL CORPORATION (NPI 1790817039) is a healthcare organization registered as a family medicine in Glendale, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Herach Yadegarian, President, as its authorized official.

NPPES Registry Identity

NPI1790817039
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHERACH YADEGARIAN, M.D., A MEDICAL CORPORATION
Location Address800 S. CENTRAL AVE., SUITE 308Glendale, CA 91204-4644
Mailing Address800 S. Central Ave., Suite 308Glendale, CA 91204-4644 · (818) 240-8767 · Fax (818) 502-0254
Phone(818) 240-8767
Fax(818) 502-0254
Organization SubpartNo
Authorized OfficialHerach YadegarianPresident · (818) 240-8767
Enumeration DateMarch 12, 2007
Last NPPES UpdateSeptember 9, 2009
✔ NPI 1790817039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X
800 S. CENTRAL AVE., Glendale, CA 91204
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Herach Yadegarian, M.d., A Medical Corporation 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 Herach Yadegarian, M.D., A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Herach Yadegarian, M.D.
General Practice
NPI 1124188628
800 S. CENTRAL AVE. SUITE 308
Glendale, CA 91204
(818) 240-8767
✔ PECOS1.5 mi

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

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 05D0911032

Herach Yadegarian, MD A Medical Corporation · Glendale, CA
Active · expires Jan 23, 2028
CLIA Number05D0911032
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorHerach H. Yadegarian
Laboratory Phone(818) 240-8767
Laboratory LocationHerach Yadegarian, MD A Medical Corporation411 N Central Ave Ste 130, Glendale, CA 91203
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Herach Yadegarian, M.D., A Medical Corporation's NPI number?

The NPI number for Herach Yadegarian, M.D., A Medical Corporation is 1790817039. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Herach Yadegarian, M.D., A Medical Corporation located?

Herach Yadegarian, M.D., A Medical Corporation is located at 800 S. Central Ave. Suite 308, Glendale, CA 91204. The listed phone number is (818) 240-8767.

What is Herach Yadegarian, M.D., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Herach Yadegarian, M.D., A Medical Corporation enrolled in Medicare?

Yes. Herach Yadegarian, M.D., A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Herach Yadegarian, M.D., A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Herach Yadegarian, M.D., A Medical Corporation. 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.

Does Herach Yadegarian, M.D., A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0911032) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Herach Yadegarian, M.D., A Medical Corporation was last updated on September 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.