HAKOB GRIGOR DAVTYAN M.D. NPI 1437180676

NPI Information

  • NPI: 1437180676
  • Provider Name: HAKOB GRIGOR DAVTYAN, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 401 E HIGHLAND AVE
    SUITE 251
    SAN BERNARDINO, CA
    ZIP 92404
  • Phone: (909) 881-1614

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NPI Details

Hakob Grigor Davtyan, M.D. is a specialist in San Bernardino, CA with 43 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. Hakob Grigor Davtyan, M.D. NPI is 1437180676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduation Year:1983

The provider's business location address is:

401 E HIGHLAND AVE
SUITE 251
SAN BERNARDINO, CA
ZIP 92404-803
Phone: (909) 881-1614
Fax: (909) 881-2711

The NPI 1437180676 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Harvest of vein using an endoscope (HCPCS:33508)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Coronary artery bypass using vein or artery graft, 3 grafts (HCPCS:33519)
  • Coronary artery bypass using vein or artery graft, 2 grafts (HCPCS:33518)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/12/2016.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)031902GEORGIANo
2174400000XSpecialistG54367CALIFORNIAYes

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
100G543671OTHERMEDICARE INDIVIDUAL PTAN
2ZZZ07161ZOTHERMEDICARE GROUP PTAN
300G543670MEDICAIDCALIFORNIA
4G54367OTHERCALIFORNIALICENSE
5F26969MEDICARE UPINCALIFORNIA
6031902OTHERGEORGIALICENSE

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: 11/21/2025

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