Individual provider Active NPI

Michael A Avakian, DPM

  • Podiatrist
  • Pasadena, CA
National Provider Identifier
1154335040
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3953 Issued in CA
Practice address
2544 E Washington Blvd
Suite C
Pasadena, CA 91107-1465
Phone
(626) 398-4069
Fax
(626) 798-9041
NPI assigned
Jul 28, 2006
Last updated
May 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3953 CA Primary

Addresses

Primary practice location

2544 E Washington Blvd
Suite C
Pasadena, CA 91107-1465

Mailing address

2544 E Washington Blvd
Suite C
Pasadena, CA 91107-1452
Phone (626) 398-4069

Other identifiers 1

IdentifierTypeStateIssuer
000E39530MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061006000368 CA Practitioner - Podiatry 5395741771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Medical GroupGroup PAC ID 2365606837, 3 clinicians

Practice addresses (Care Compare)

2544 E Washington Blvd C
Pasadena, CA 91107-1465
Phone (626) 798-1085

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue115
Removal of skin lesions1-10
Removal of nail tissue105
Removal or shaving of skin growth276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3953CAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Medical Group Podiatrist CurrentSince Jan 1, 2012 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

2544 E Washington Blvd
Pasadena, CA 91107
Phone (626) 798-1085

2544 E Washington Blvd
Ste C
Pasadena, CA 91107
Phone (626) 398-4069

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: michaelavakian@wmgmia.allscriptsdirect.net

Organizations & group practices 3

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 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1154335040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 E WASHINGTON BLVD",
            "address_2": "SUITE C",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071452",
            "telephone_number": "626-398-4069",
            "fax_number": "626-798-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 E WASHINGTON BLVD",
            "address_2": "SUITE C",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071465",
            "telephone_number": "626-398-4069",
            "fax_number": "626-798-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVAKIAN",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.