Individual provider Active NPI

Puzant Topaljekian, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Sherman Oaks, CA
National Provider Identifier
1043745821
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
A164802 Issued in CA
Practice address
5121 Van Nuys Blvd Ste 211
Sherman Oaks, CA 91403-6124
Phone
(818) 891-1000
NPI assigned
Apr 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML60756248 WA
Family Medicine Physician 207Q00000X MD60963491 WA
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X A164802 CA Primary

Addresses

Primary practice location

5121 Van Nuys Blvd Ste 211
Sherman Oaks, CA 91403-6124

Mailing address

5121 Van Nuys Blvd Ste 211
Sherman Oaks, CA 91403-6124
Phone (818) 891-1000

Other practice location 1

4835 Van Nuys Blvd Ste 111
Sherman Oaks, CA 91403-2136
Phone (818) 617-9840

Other identifiers 1

IdentifierTypeStateIssuer
2080267MedicaidWA

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
I20220429001186 CA Practitioner - Family Practice 6709146137 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60963491WAMDFamily Medicine Physician
A164802CAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tops Medical Center, Inc. Family Medicine CurrentSince Jan 24, 2022 Accepting new patients
Aleve Hospice Care of Los Angeles,Inc. Family Medicine PastSince Apr 24, 2022 Accepting new patients

Locations

4835 Van Nuys Blvd
Ste 111
Van Nuys, CA 91403
Phone (818) 617-9840

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aleve Hospice Care of Los Angeles,Inc.Sherman Oaks, CA, CCN 921523 Hospice W-2 Managing Employee Apr 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1043745821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 VAN NUYS BLVD STE 211",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914036124",
            "telephone_number": "818-891-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 VAN NUYS BLVD STE 211",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914036124",
            "telephone_number": "818-891-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4835 Van Nuys Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032136",
            "country_code": "US",
            "telephone_number": "818-617-9840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOPALJEKIAN",
        "first_name": "PUZANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-28",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML60756248",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60963491",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A164802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080267",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.