Olive Health Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OLIVE HEALTH MEDICAL GROUP INC

Practice address

500 E Olive Ave
Suite 315
Burbank, CA 91501-3316

Phone

(818) 972-1000

Fax

(818) 972-9007

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Karine KirakosyanNPI 1427092071

Title

President

Phone

(818) 972-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karine Kirakosyan, M.D.

  • General Practice Physician
  • Burbank, CA
  • NPI 1427092071
  Medicare reassignment NPD Authorized official
• Vladimir Ayvazyan, M.D.

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1477887206
  Medicare reassignment NPD

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1205077039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE",
            "address_2": "SUITE 315",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915013316",
            "telephone_number": "818-972-1000",
            "fax_number": "818-972-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE",
            "address_2": "SUITE 315",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915013316",
            "telephone_number": "818-972-1000",
            "fax_number": "818-972-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE HEALTH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "KIRAKOSYAN",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-972-1000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Rosana Olivares
• Mark Vincent Olivarez, MSN FNP
• Risa Quinto Olivarez, RN
• Olive Avenue Medical Pharmacy Inc (Olive Avenue Medical Pharmacy)
• Olive Crest Treatment Ctr.
• Olive Health Pediatrics Inc
• Olive International Inc
• Olive Medical Associates PC
• Olive Professional Diagnostic, Inc.
• Olive Sleep & Eeg Inc

• General Practice Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.