Active NPI
Maryetta Ovsepian, MD PHD
- Anesthesiology Physician
- Sylmar, CA
National Provider Identifier
1013070929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A69455
- Practice address
- L4445 Olive View Drive
Sylmar, CA 91342-1495 - Phone
- (818) 364-4350
- Fax
- (818) 364-4775
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A69455 | CA | Primary |
Addresses
Primary practice location
L4445 Olive View Drive
Sylmar, CA 91342-1495
Mailing address
10125 Bromont Ave
Sun Valley, CA 91352
Phone (818) 252-5686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A69455 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Foygelman Podiatric Corporation | Past | Accepting new patients | |
| Olive View UCLA Medical Center | Past | Accepting new patients | |
| California Specialty Medical Group | Past | Accepting new patients |
Locations
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
-
- General Practice Physician
- Glendale, CA
- NPI 1396991766
-
- Foot Surgery Podiatrist
- San Diego, CA
- NPI 1942432307
-
- Community Based Hospice Care Agency
- Sun Valley, CA
- NPI 1508924945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238716800000",
"number": "1013070929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10125 BROMONT AVE",
"city": "SUN VALLEY",
"state": "CA",
"postal_code": "91352",
"telephone_number": "818-252-5686",
"fax_number": "818-252-7187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "L4445 OLIVE VIEW DRIVE",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913421495",
"telephone_number": "818-364-4350",
"fax_number": "818-364-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVSEPIAN",
"first_name": "MARYETTA",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2009-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A69455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.