NPIMap

Individual provider Active NPI

Ferdinand J. Panoussi, D.O

  • Internal Medicine Physician
  • Lancaster, CA
National Provider Identifier
1144493131
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A10970 Issued in CA
Practice address
1600 W Avenue J
Avh, Cogenthmg, Room # 296, Atten: Dr. Panoussi
Lancaster, CA 93534-2814
Phone
(661) 726-6254
Fax
(661) 726-6256
NPI assigned
Apr 10, 2008
Last updated
Aug 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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 20A10970 CA Primary

Addresses

Primary practice location

1600 W Avenue J
Avh, Cogenthmg, Room # 296, Atten: Dr. Panoussi
Lancaster, CA 93534-2814

Mailing address

1600 W Avenue J
Avh, Cogenthmg, Room # 296, Atten: Dr. Panoussi
Lancaster, CA 93534-2814
Phone (661) 726-6254

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
I20100914001037 CA Practitioner - Internal Medicine 7911022900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unified Health AssociatesGroup PAC ID 0749664910, 11 clinicians
Horizon Multicare Group IncGroup PAC ID 5294033734, 26 clinicians

Practice addresses (Care Compare)

44215 15TH St W
Suite 103
Lancaster, CA 93534-5503
Phone (661) 948-4429

44567 15TH St W
Lancaster, CA 93534-2803
Phone (661) 949-5524

Hospital & facility affiliations

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
10970CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Health Associates CurrentSince Sep 1, 2022 Accepting new patients
Horizon Multicare Group Inc Internal Medicine CurrentSince Feb 15, 2016 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Loma Linda University Physicians Medical Group Inc Internal Medicine Past Accepting new patients

Locations

1206 W Avenue J
Ste 100
Lancaster, CA 93534
Phone (661) 948-4429

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1600 W Avenue J
Rm 296
Lancaster, CA 93534
Phone (661) 726-6254

44215 15th St W
Ste 103
Lancaster, CA 93534
Phone (661) 948-4429

44567 15th St W
Lancaster, CA 93534
Phone (661) 661-5524

19197 Golden Valley Rd
Santa Clarita, CA 91387
Phone (800) 820-7813

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ferdinand.panoussido.p1@direct.plannedparenthoodla.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/adcf8c94-9b00-4842-a377-0e772d7d3145/

Organizations & group practices 4

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 6

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1144493131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "address_2": "AVH, COGENTHMG, ROOM # 296, ATTEN: DR. PANOUSSI",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-726-6254",
            "fax_number": "661-726-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "address_2": "AVH, COGENTHMG, ROOM # 296, ATTEN: DR. PANOUSSI",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-726-6254",
            "fax_number": "661-726-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOUSSI",
        "first_name": "FERDINAND",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.