Individual provider Active NPI

Dickran Vahe Altounian, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Encino, CA
National Provider Identifier
1063862290
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
20A18293 Issued in CA
Practice address
16830 Ventura Blvd Ste 220
Encino, CA 91436-1723
Phone
(818) 926-4963
NPI assigned
Jun 19, 2016
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A18293 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20A18293 CA Primary

Addresses

Primary practice location

16830 Ventura Blvd Ste 220
Encino, CA 91436-1723

Mailing address

PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914

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
I20210813002044 CA Practitioner - Physical Medicine and Rehabilitation 9931510526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Rehab Consultants California IncGroup PAC ID 0547499865, 39 clinicians

Practice addresses (Care Compare)

16553 Rinaldi St
Granada Hills, CA 91344-3762
Phone (312) 635-0973

4551 Glencoe Ave
Suite 145
Marina del Rey, CA 90292-6385
Phone (818) 926-4963

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18293CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
18293CAMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants California Inc Physical Medicine & Rehabilitation CurrentSince Dec 23, 2023 Accepting new patients
Dickran V Altounian DO Ms Inc Physical Medicine & Rehabilitation CurrentSince Dec 11, 2023 Accepting new patients

Locations

16830 Ventura Blvd
Ste 220
Encino, CA 91436
Phone (424) 438-0881

16553 Rinaldi St
Granada Hills, CA 91344
Phone (818) 360-1003

12029 Avalon Blvd
Los Angeles, CA 90061
Phone (323) 756-8191

4551 Glencoe Ave
Ste 145
Marina del Rey, CA 90292
Phone (310) 426-8206

530 W Dunne Ave
Morgan Hill, CA 95037
Phone (408) 779-3633

7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694

8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421

1224 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 937-7450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1063862290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16830 VENTURA BLVD STE 220",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361723",
            "telephone_number": "818-926-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTOUNIAN",
        "first_name": "DICKRAN",
        "middle_name": "VAHE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-19",
        "last_updated": "2024-04-05",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A18293",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A18293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.