Individual provider Active NPI

Hamlet Baghoumian, M.D.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1134239353
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70293 Issued in CA
Practice address
435 Arden Ave
310
Glendale, CA 91203-1130
Phone
(818) 649-1847
Fax
(819) 649-1848
NPI assigned
Aug 30, 2006
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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 A70293 CA Primary

Addresses

Primary practice location

435 Arden Ave
310
Glendale, CA 91203-1130

Mailing address

435 Arden Ave
310
Glendale, CA 91203-1130
Phone (818) 649-1847

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
I20041119001036 CA Practitioner - Internal Medicine 8325003270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

2829 S Grand Ave
Los Angeles, CA 90007-3304
Phone (213) 699-7013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70293CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A70293CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Nov 26, 2021 Accepting new patients
County of Los Angeles CurrentSince Nov 26, 2021 Accepting new patients
KND Development 59 LLC CurrentSince Nov 1, 2016 Accepting new patients
KND Development 59 LLC Current Accepting new patients
County of Los Angeles Current Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Internal Medicine Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

7601 Imperial Hwy
Downey, CA 90242
Phone (310) 940-8111

14900 Imperial Hwy
La Mirada, CA 90638
Phone (559) 627-6363

2829 S Grand Ave
Los Angeles, CA 90007
Phone (213) 699-7000

5525 W Slauson Ave
Los Angeles, CA 90056
Phone (310) 642-0325

Interoperability endpoints

  • Direct secure messaging: hamlet.baghoumian.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 11

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1134239353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-649-1847",
            "fax_number": "819-649-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-649-1847",
            "fax_number": "819-649-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHOUMIAN",
        "first_name": "HAMLET",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.