Provider Demographics
NPI: | 1790997187 |
---|---|
Name: | NAHAPETIAN, ARBY (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | ARBY |
Middle Name: | |
Last Name: | NAHAPETIAN |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | PO BOX 1567 |
Mailing Address - Street 2: | |
Mailing Address - City: | LA CANADA |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91012-5567 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 818-590-5653 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 501 S BUENA VISTA ST |
Practice Address - Street 2: | DEPARTMENT OF CARDIOLOGY |
Practice Address - City: | BURBANK |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91505-4809 |
Practice Address - Country: | US |
Practice Address - Phone: | 818-409-8200 |
Practice Address - Fax: | 818-484-2375 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2007-05-05 |
Last Update Date: | 2015-10-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | A78890 | 207RC0000X, 207RC0001X, 207UN0901X |
CA | A87790 | 207R00000X, 207RC0200X, 207UN0901X, 207RM1200X, 207RI0011X, 207U00000X, 2083P0901X, 2085U0001X, 2085N0904X, 2085R0204X, 2085R0203X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | Clinical Cardiac Electrophysiology |
No | 207UN0901X | Allopathic & Osteopathic Physicians | Nuclear Medicine | Nuclear Cardiology |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
No | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
No | 207RM1200X | Allopathic & Osteopathic Physicians | Internal Medicine | Magnetic Resonance Imaging (MRI) |
No | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
No | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | |
No | 2083P0901X | Allopathic & Osteopathic Physicians | Preventive Medicine | Public Health & General Preventive Medicine |
No | 2085U0001X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Ultrasound |
No | 2085N0904X | Allopathic & Osteopathic Physicians | Radiology | Nuclear Radiology |
No | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology |
No | 2085R0203X | Allopathic & Osteopathic Physicians | Radiology | Therapeutic Radiology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
CA | BX913U | Medicare PIN | |
CA | BX913Z | Medicare PIN | |
CA | BX913R | Medicare PIN | |
CA | BX913W | Medicare PIN | |
CA | BX913X | Medicare PIN | |
CA | BX913S | Medicare PIN | |
CA | BX913V | Medicare PIN | |
CA | BX913T | Medicare PIN | |
CA | BX913Y | Medicare PIN |