Active NPI
Jaclyn Sonia Agopian, MPAP, PA-C
- Medical Physician Assistant
- Sherman Oaks, CA
National Provider Identifier
1053629121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA21026
- Practice address
- 4836 Van Nuys Blvd
Sherman Oaks, CA 91403-2101 - Phone
- (818) 907-7546
- Fax
- (818) 907-9506
- NPI assigned
- Sep 22, 2010
- Last updated
- Nov 16, 2011
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA21026 | CA | Primary |
Addresses
Primary practice location
4836 Van Nuys Blvd
Sherman Oaks, CA 91403-2101
Mailing address
4836 Van Nuys Blvd
Sherman Oaks, CA 91403-2101
Phone (818) 907-7546
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Southern California Keck School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4836 Van Nuys Blvd
Sherman Oaks, CA 91403-2101
Phone (818) 907-7546
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
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- Sherman Oaks, CA
- NPI 1023377082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1053629121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4836 VAN NUYS BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032101",
"telephone_number": "818-907-7546",
"fax_number": "818-907-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4836 VAN NUYS BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032101",
"telephone_number": "818-907-7546",
"fax_number": "818-907-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGOPIAN",
"first_name": "JACLYN",
"middle_name": "SONIA",
"name_prefix": "Ms.",
"credential": "MPAP, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA21026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.