Healthcare Provider Details

I. General information

NPI: 1427952571
Provider Name (Legal Business Name): TOVMASSIAN'S PODIATRY CALL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5120 MANZANITA AVE STE 110
CARMICHAEL CA
95608-0590
US

IV. Provider business mailing address

5838 WEDGEWOOD DR
GRANITE BAY CA
95746-6701
US

V. Phone/Fax

Practice location:
  • Phone: 916-459-4398
  • Fax:
Mailing address:
  • Phone: 916-716-3034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: GREGORY ARKADIEVICH TOVMASSIAN
Title or Position: PRESIDENT
Credential: DPM
Phone: 916-716-3034