Ani Mnatsakanian, DO

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

20A23436 Issued in CA

Practice address

800 Fairmount Ave Ste 411
Pasadena, CA 91105-3155

Phone

(323) 306-9632

NPI assigned

Jun 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Otolaryngology

Education

Campbell Univ School of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Geoffrey Trenkle DO a Professional Medical CorporationGroup PAC ID 1759607310, 17 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: amnatsakanian737754@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Geoffrey Trenkle DO a Professional Medical Corporation

  dba Los Angeles Center For Ear Nose Throat and Allergy

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1992124978
  Medicare reassignment Care Compare group NPD
• Citrus Valley Medical Associates, Inc.

  dba Circle City Medical Group

  • Family Medicine Physician
  • Norco, CA
  • NPI 1306033709
  NPD (past)
• Employee Medical Consultants PC

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1558099325
  NPD (past)
• Michael R. Gatto MD, Inc.

  dba Michael Gatto MD

  • Otolaryngology Physician
  • Palm Springs, CA
  • NPI 1811991847
  NPD (past)
• Samir a Shah MD Professional Corporation

  dba Beach Eye Medical Group

  • Ophthalmology Physician
  • Huntington Beach, CA
  • NPI 1700197365
  NPD (past)

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1134743206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD STE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506670",
            "telephone_number": "323-306-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE STE 411",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053155",
            "telephone_number": "323-306-9632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1577 E Chevy Chase Dr Ste 330",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064743",
            "country_code": "US",
            "telephone_number": "323-306-9632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MNATSAKANIAN",
        "first_name": "ANI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5151014683",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "20A23436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Yoshito Mizuno, D.D.S.
• MJB Family and Marriage Therapist Inc (Margaret Jeanne Bezucha)
• MJK Home Health Care Inc
• MLH Health Care Inc
• Olivia Dang NA Mlodinow
• Kenny Mo
• Phyllis Mo, D.O.
• Mobile Rehab Physical Therapy Inc
• Mehdi Modaraei
• Modern Concepts Medical Group

• Otolaryngology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.

Verify at the official NPI Registry.