JIRAIR KONIALIAN MEDICAL CORPORATION (NPI# 1811023708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811023708 |
| Entity Type | Organization |
| Organization Name | JIRAIR KONIALIAN MEDICAL CORPORATION |
| Other Organization Name | WOMENS HEALTHCARE INSTITUTE |
| Practice Address |
18546 Roscoe Blvd Suite 220 Northridge CA 91324-5455 |
| Practice Telephone | 8188860600 |
| Practice Fax Number | 8187018100 |
| Mailing Telephone | 8188860600 |
| Mailing Fax Number | 8187018100 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JIRAIR KONIALIAN (PRESIDENT) |
| Authorized Official Telephone | 8188860600 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WOMENS HEALTHCARE INSTITUTE | Doing Business As Name - Organization |
| Street Address |
18546 ROSCOE BLVD SUITE 220 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324-5455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730177932 | Lawrence Osman | Dermatology | 18546 Roscoe Blvd, Ste 306, Northridge, CA 91324-4663 | 2005-10-11 |
| 1922514223 | Seeta Stacie Nanoo | Nurse Practitioner | 18546 Roscoe Blvd, Northridge, CA 91324-4663 | 2017-12-21 |
| 1598164659 | Alain Karaguezian Md PC | Family Medicine | 18546 Roscoe Blvd, Suite 304, Northridge, CA 91324-4663 | 2014-08-14 |
| 1477890291 | Innovative Dialysis Center of Northridge, LLC | Clinic/Center | 18546 Roscoe Blvd, Suite 108, Northridge, CA 91324-4663 | 2013-01-14 |
| 1285946046 | Minas Kochumian, Md, A Medical Corporation | Non-Pharmacy Dispensing Site | 18546 Roscoe Blvd, 312, Northridge, CA 91324-4663 | 2010-07-09 |
| 1700035193 | Stefanie A Proia | Nurse Practitioner | 18546 Roscoe Blvd, Suite 211, Northridge, CA 91324-4663 | 2008-09-10 |
| 1659537835 | California Kidney Medical Group Inc | Surgery | 18546 Roscoe Blvd, Suite 120, Northridge, CA 91324-4663 | 2008-08-06 |
| 1528226602 | Sherry Ann L. Sanvictores | Nurse Practitioner | 18546 Roscoe Blvd, Suite 306, Northridge, CA 91324-4663 | 2008-05-27 |
| 1295884088 | Ehab S Yacoub | Psychiatry & Neurology | 18546 Roscoe Blvd, Suite 210, Northridge, CA 91324-4663 | 2007-01-09 |
| 1184785297 | Michael W. Barsom, Md, Amc | Psychiatry & Neurology | 18546 Roscoe Blvd, Suite 210, Northridge, CA 91324-4663 | 2006-12-12 |
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| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962978304 | Lawrence Osman Md PC | Clinic/Center | 18546 Roscoe Blvd Ste 306, Northridge, CA 91324-4669 | 2018-10-23 |
| 1548690530 | Christopher G. Chow,md,inc | Clinic/Center | 18433 Roscoe Blvd Ste 208, Northridge, CA 91325-4139 | 2013-11-13 |
| 1093701534 | Dual Diagnosis Assesment and Treatment Center Inc | Clinic/Center | 19300 Rinaldi St, Northridge, CA 91326-1651 | 2005-09-20 |
| 1477003911 | Caroline Yokota, O.d., A Professional Corporation | Clinic/Center | 9301 Tampa Ave, Space 62, Northridge, CA 91324-2503 | 2016-10-08 |
| 1427204510 | Kiran B Dua Md | Clinic/Center | 8349 Reseda Blvd, Suite G, Northridge, CA 91324-4622 | 2008-08-08 |
| 1427241702 | Jeffrey L. Thurston Chiropractic Corporation | Clinic/Center | 9535 Reseda Blvd, Suite 212, Northridge, CA 91324-2310 | 2007-08-21 |
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| City | NORTHRIDGE |
| Zip Code | 91324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.