Individual provider Active NPI

Hayka Hovsepyan, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Mission Hills, CA
National Provider Identifier
1013338706
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A132478 Issued in CA
Practice address
14901 Rinaldi St Ste 200
Mission Hills, CA 91345-1254
Phone
(818) 365-8553
Fax
(818) 365-5763
NPI assigned
Dec 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A132478 CA Primary

Addresses

Primary practice location

14901 Rinaldi St Ste 200
Mission Hills, CA 91345-1254

Mailing address

14901 Rinaldi St Ste 200
Mission Hills, CA 91345-1254
Phone (188) 365-8553

Other names 1

  • Haykanush Hovsepyan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181105003341 CA Practitioner - Internal Medicine 8426370396 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A132478CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Medical Organization, a Medical Group Inc. CurrentSince Aug 11, 2018 Accepting new patients
The Metrohealth System General Acute Care Hospital Current Accepting new patients

Locations

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hayka.hovsepyan.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: hhovsepyan123593@direct.metrohealth.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1013338706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST STE 200",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451254",
            "telephone_number": "188-365-8553",
            "fax_number": "818-365-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST STE 200",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451254",
            "telephone_number": "818-365-8553",
            "fax_number": "818-365-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVSEPYAN",
        "first_name": "HAYKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A132478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYKANUSH",
            "last_name": "HOVSEPYAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.