Individual provider Active NPI

Garbis Kassabian, M.D.

  • Specialist
  • Mission Hills, CA
National Provider Identifier
1083692669
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G79982 Issued in CA
Practice address
14901 Rinaldi St
Suite # 305
Mission Hills, CA 91345-1204
Phone
(818) 837-6830
Fax
(818) 837-6832
NPI assigned
Jan 4, 2006
Last updated
Jan 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G79982 CA Primary

Addresses

Primary practice location

14901 Rinaldi St
Suite # 305
Mission Hills, CA 91345-1204

Mailing address

14901 Rinaldi St
Suite # 305
Mission Hills, CA 91345-1204
Phone (818) 837-6830

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
I20070706000279 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7810097714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Medical College of Wisconsin, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14901 Rinaldi St
Suite 305
Mission Hills, CA 91345-1255
Phone (818) 837-6830

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79982CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Garbis Kassabian, M.D., Inc. a Professional Corporation CurrentSince Jan 19, 2001 Accepting new patients
Deanco Healthcare LLC. Past Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients

Locations

11550 Indian Hls
Ste 261
Mission Hills, CA 91345
Phone (818) 361-0917

14901 Rinaldi St
Ste 305
Mission Hills, CA 91345
Phone (818) 837-6830

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: garbis.kassabian.p174@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 6

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1083692669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "SUITE # 305",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-837-6830",
            "fax_number": "818-837-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST",
            "address_2": "SUITE # 305",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451204",
            "telephone_number": "818-837-6830",
            "fax_number": "818-837-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSABIAN",
        "first_name": "GARBIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G79982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.