NPIMap

Individual provider Active NPI

Hakop Gevorkyan, MD

  • Internal Medicine Physician
  • Burbank, CA
National Provider Identifier
1073689386
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63848 Issued in CA
Practice address
333 E Magnolia Blvd Ste 103
Burbank, CA 91502
Phone
(818) 848-1555
Fax
(818) 842-9323
NPI assigned
Nov 28, 2006
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A63848 CA Primary

Addresses

Primary practice location

333 E Magnolia Blvd Ste 103
Burbank, CA 91502

Mailing address

333 E Magnolia Blvd
Ste 103
Burbank, CA 91502-1198
Phone (818) 848-1555

Other identifiers 4

IdentifierTypeStateIssuer
00A63848MedicaidCA
WA63848BOtherPPIN #
W15115OtherEDI
GR0089090OtherGROUP MEDICAL

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
I20110310000687 CA Practitioner - Internal Medicine 5395783757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Health Medical Group IncGroup PAC ID 5698713055, 4 clinicians

Practice addresses (Care Compare)

333 E Magnolia Blvd
Suite 103
Burbank, CA 91502-1198
Phone (818) 848-1555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as individual
Quality
63.81
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Razmik Ohanjanian MD Inc CurrentSince May 31, 2010 Accepting new patients
Comcare Primary Medical Group a California General Partnership CurrentSince Sep 4, 2016 Accepting new patients
Advanced Health Medical Group Inc Internal Medicine CurrentSince Jan 25, 2001 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Vachik Shahnazarian MD Inc PastSince Sep 15, 2003 Accepting new patients

Locations

333 E Magnolia Blvd
Ste 103
Burbank, CA 91502
Phone (747) 283-1797

1030 S Glendale Ave
Ste 304
Glendale, CA 91205
Phone (818) 291-4041

511 Western Ave
Glendale, CA 91201
Phone (818) 240-5588

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hakopgevorkyanmd@ah-ca.direct.office.nextgen.com

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1073689386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E MAGNOLIA BLVD",
            "address_2": "STE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021198",
            "telephone_number": "818-848-1555",
            "fax_number": "818-842-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E MAGNOLIA BLVD STE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91502",
            "telephone_number": "818-848-1555",
            "fax_number": "818-842-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEVORKYAN",
        "first_name": "HAKOP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A63848",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN #",
            "identifier": "WA63848B",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDI",
            "identifier": "W15115",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAL",
            "identifier": "GR0089090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.