Organization Active NPI

Hovsepyan OD Prof. Corp.

  • Optometrist
  • Pasadena, CA
National Provider Identifier
1043165822
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HOVSEPYAN OD PROF. CORP.
Practice address
3768 E Colorado Blvd Ste B
Pasadena, CA 91107-3972
Phone
(626) 421-8035
NPI assigned
Feb 26, 2026
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Dr. Jivan Hovsepyan, ODNPI 1679215255
Title
Ceo
Phone
(626) 421-8035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3768 E Colorado Blvd Ste B
Pasadena, CA 91107-3972

Mailing address

3768 E Colorado Blvd Ste B
Pasadena, CA 91107-3972
Phone (626) 345-5279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260429002440 CA Part B Supplier - Clinic/Group Practice 6002383874 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

3768 E Colorado Blvd
Ste B
Pasadena, CA 91107
Phone (626) 345-5279

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1043165822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 E COLORADO BLVD STE B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073972",
            "telephone_number": "626-345-5279",
            "fax_number": "626-345-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 E COLORADO BLVD STE B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073972",
            "telephone_number": "626-421-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOVSEPYAN OD PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "HOVSEPYAN",
        "authorized_official_first_name": "JIVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-421-8035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.