Active NPI
Suzy Arevyan
- Physician Assistant
- Valley Glen, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6461 Teesdale Ave
Valley Glen, CA 91606-1246 - Phone
- (818) 688-1544
- NPI assigned
- Dec 7, 2023
- Last updated
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
6461 Teesdale Ave
Valley Glen, CA 91606-1246
Mailing address
9675 Brighton Way Ste 340
Beverly Hills, CA 90210-5155
Phone (310) 203-0511
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 N Brand Blvd
Suite 204
Glendale, CA 91203-2617
Phone (818) 745-0070
130 N Brand Blvd
Suite 208
Glendale, CA 91203-2627
Phone (818) 945-6003
600 N Brand Blvd
Suite 612
Glendale, CA 91203-4214
Phone (818) 239-9293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64023 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
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.
-
dba Cordial Healthcare Providers
- Family Nurse Practitioner
- Glendale, CA
- NPI 1306424502
-
dba The Mobile DRS
- Family Medicine Physician
- Glendale, CA
- NPI 1588439061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1174390306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9675 BRIGHTON WAY STE 340",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105155",
"telephone_number": "310-203-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6461 TEESDALE AVE",
"city": "VALLEY GLEN",
"state": "CA",
"postal_code": "916061246",
"telephone_number": "818-688-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AREVYAN",
"first_name": "SUZY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-07",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Glen, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.