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Grigor Boyadzhyan

Physician β€’ Irwindale, CA

Deactivated NPI 1437676665 Deactivated in NPPES Male Practitioner
Practice location in NPPES

15859 Edna Pl Ste 111a
Irwindale, CA 917062153

Phone: (626) 999-5440

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of April 10, 2018; the reason is not published. The records below are historical. They do not show whether Grigor Boyadzhyan currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date August 28, 2017
NPI Deactivation Date April 10, 2018
NPI Active Period 2017 – 2018

Practice Location & Contact Primary Location

Practice Address

15859 Edna Pl Ste 111a

Irwindale, CA 917062153

Fax 6269995445

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Irwindale and California

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated April 10, 2018

NPPES lists this NPI as deactivated as of April 10, 2018; the reason is not published.

βœ…
NPI Profile Active August 28, 2017

NPI status registered as active in NPPES database

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Practice Location (Initial Record) August 28, 2017

Registered at 15859 EDNA PL STE 111A, IRWINDALE, CA 917062153 (Tel: (626) 999-5440)

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Business Mailing Address (Initial Record) August 28, 2017

Registered at 15859 EDNA PL STE 111A, IRWINDALE, CA 917062153 (Tel: 6269995440)

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Provider Name / Credentials (Initial Record) August 28, 2017

Recorded as GRIGOR BOYADZHYAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2017

Home Health

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Initial NPI Registration & Enumeration August 28, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437676665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2017
Last Update: August 28, 2017
Deactivation Date: April 10, 2018

Mailing Address

15859 Edna Pl Ste 111a

Irwindale, CA 917062153

Phone: 6269995440

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.