Physician Compare National (NPI:1881708824)

HEALTHCARE PROVIDER: ARTIN GEVORGIAN DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881708824
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961419767
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060320000754
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GEVORGIAN
	Individual professional last name
Provider First Name	ARTIN
	Individual professional first name
Provider Middle Name	V
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2625 W ALAMEDA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 314
	Group Practice or individual's line 2 address
City	BURBANK
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	915054822
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8188418400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050235
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE SAINT JOSEPH MEDICAL CTR
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y