NPIMap

Individual provider Active NPI

Charles E Ananian, DPM

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1033120787
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E45820 Issued in CA
Practice address
3616 E 1St St
Los Angeles, CA 90063-2326
Phone
(323) 264-6157
Fax
(323) 264-0099
NPI assigned
Aug 10, 2006
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E45820 CA Primary

Addresses

Primary practice location

3616 E 1St St
Los Angeles, CA 90063-2326

Mailing address

3616 E 1St St
Los Angeles, CA 90063-2326
Phone (323) 264-6157

Other identifiers 1

IdentifierTypeStateIssuer
000E45820MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051001000053 CA Practitioner - Podiatry 6002841731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White Memorial Medical CenterGroup PAC ID 4486622362, 68 clinicians
Gabriel J Halperin D P M IncGroup PAC ID 2163411075, 4 clinicians

Practice addresses (Care Compare)

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone 323268500034066

3616 E 1St St
Los Angeles, CA 90063-2326
Phone (323) 264-6157

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
69.82
Promoting interoperability
95
Improvement activities
40
Cost
67.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1213
Removal of nail tissue707
Removal or shaving of skin growth368
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E45820CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriel J. Halperin D.P.M., Inc. Current Accepting new patients
St Francis Medical Center Past Accepting new patients
Randy Rosen, M.D., a Prof. Corp. Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
John G. Alevizos, D.O., a Professional Medical Corporation Past Accepting new patients

Locations

3616 E 1st St
Los Angeles, CA 90063
Phone (213) 264-6157

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1033120787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632326",
            "telephone_number": "323-264-6157",
            "fax_number": "323-264-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632326",
            "telephone_number": "323-264-6157",
            "fax_number": "323-264-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANIAN",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E45820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E45820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.