Eric J Yavrouian, M. D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A110286 Issued in CA

Practice address

1505 Wilson Terrace
270
Glendale, CA 91206-4078

Phone

(818) 241-2101

Fax

(818) 241-2166

NPI assigned

Dec 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

University of South Carolina School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT Surgical AssociatesGroup PAC ID 6103897988, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
• Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

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 and National Provider Directory roles.

• ENT Surgical Associates

  • Otolaryngology Physician
  • Glendale, CA
  • NPI 1336126820
  Medicare reassignment Care Compare group NPD

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

• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation
• Usc Verdugo Hills Hospital

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1033716147
  Care Compare affiliation

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1194054015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER",
            "address_2": "SUITE 270",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064071",
            "telephone_number": "818-241-2101",
            "fax_number": "818-241-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TERRACE",
            "address_2": "270",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064078",
            "telephone_number": "818-241-2101",
            "fax_number": "818-241-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVROUIAN",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-24",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A110286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0088300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edmund Yap
• Yards Dialysis LLC (Glendale Heights Dialysis)
• Andre Yarian, M.D.
• Jaklin Yasaman, LMFT
• Roberta C Yates I, NP,RN
• Tevin Yawson
• Emetisse Yazdanmehr, O.D
• Arman Yazichyan
• Megan Grace Ye
• Shannon Ye

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.