Leo Polosajian, M.D.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

A81080 Issued in CA

Practice address

7640 Tampa Ave Ste 101
Reseda, CA 91335-1713

Phone

(818) 718-1600

Fax

(818) 343-1612

NPI assigned

Feb 8, 2007

Last updated

Sep 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leo Polosajian MD a Professional Med CorpGroup PAC ID 7810080363, 3 clinicians

Mid Valley Vascular Center, IncGroup PAC ID 5395967186, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score

83.53 of 100Reported as group

Quality

82.32

Improvement activities

40

Cost

35.35

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Leo Polosajian MD a Professional Med Corp

  • Clinical Cardiac Electrophysiology Physician
  • Reseda, CA
  • NPI 1912122631

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Mid Valley Vascular Center, Inc

  • Multi-Specialty Clinic/Center
  • Reseda, CA
  • NPI 1790187169
  Medicare reassignment Care Compare group NPD Authorized official
• Noninvasive Medical Imaging Incorporated

  • Medical Specialty Clinic/Center
  • Reseda, CA
  • NPI 1255899209
  Medicare reassignment NPD
• Tampa Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Reseda, CA
  • NPI 1659807717
  NPD Authorized official
• Modern Nuclear, Inc.

  • Nuclear Medicine Technology Radiologic Technologist
  • La Habra, CA
  • NPI 1063851335
  NPD
• Masonicare Behavioral Health, LLC

  • Geriatric Psychiatry Physician
  • Wallingford, CT
  • NPI 1992781488
  NPD (past)
• Masonicare Primary Care Physicians

  • Geriatric Medicine (Internal Medicine) Physician
  • Wallingford, CT
  • NPI 1922084540
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba Northridge Hospital Medical Center

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation
• Tarzana Medical Center LLC

  dba Providence Cedars-Sinai Tarzana Medical Center

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  Care Compare affiliation

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1174664783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 BALBOA BLVD",
            "address_2": "NO 261278",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914267062",
            "telephone_number": "818-718-1600",
            "fax_number": "818-718-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 TAMPA AVE STE 101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351713",
            "telephone_number": "818-718-1600",
            "fax_number": "818-343-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOSAJIAN",
        "first_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81080",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A81080",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A81080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia Diane Pounds, B.A, M.A.
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• Sam Pow
• Gloria Cecilia Prada-Quan, L.C.S.W.

• Clinical Cardiac Electrophysiology Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• Clinical Cardiac Electrophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.