DR. JACOB NOGHREIAN M.D. NPI 1558450122

NPI Information

NPI: 1558450122
Provider Name: DR. JACOB NOGHREIAN, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
8141 QUAKERTOWN AVE
WINNETKA, CA
ZIP 91306
Phone: (818) 773-0300
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DR. Jacob Noghreian, M.D. is a specialist in Winnetka, CA with 56 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jacob Noghreian, M.D. NPI is 1558450122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8141 QUAKERTOWN AVE
WINNETKA, CA
ZIP 91306-938
Phone: (818) 773-0300
Fax: (818) 773-0337

The NPI 1558450122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		A030759	CALIFORNIA	Yes
2	207VX0000X	Obstetrics & Gynecology	Obstetrics	A030759	CALIFORNIA	X
3	207VG0400X	Obstetrics & Gynecology	Gynecology	A030759	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A307590	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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