Individual provider Active NPI

Tigran Sukiasyan

  • Anesthesiology Physician
  • Encino, CA
National Provider Identifier
1205091204
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A93753 Issued in CA
Practice address
15910 Ventura Blvd
Suite 1502
Encino, CA 91436-2802
Phone
(818) 728-9877
NPI assigned
Jul 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A93753 CA Primary
Pediatric Anesthesiology Physician 207LP3000X A93753 CA

Addresses

Primary practice location

15910 Ventura Blvd
Suite 1502
Encino, CA 91436-2802

Mailing address

15910 Ventura Blvd
Suite 1502
Encino, CA 91436-2802
Phone (818) 728-9877

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140709001143 CA Practitioner - Anesthesiology 0143389700 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4199
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
78.77
Promoting interoperability
92
Improvement activities
40
Cost
48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
250221NYMDLicensed Practical Nurse
A93753CAMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Sep 1, 2014 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Sep 1, 2014 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jan 3, 2023 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jan 3, 2023 Accepting new patients
Consultants for Anesthesia & Management of Pain Anesthesiology CurrentSince Sep 1, 2016 Accepting new patients
White Memorial Medical Center CurrentSince Jan 24, 2025 Accepting new patients
University Physicians of Brooklyn, Inc Anesthesiology Past Accepting new patients

Locations

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1216512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1205091204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15910 VENTURA BLVD",
            "address_2": "SUITE 1502",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362802",
            "telephone_number": "818-728-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15910 VENTURA BLVD",
            "address_2": "SUITE 1502",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362802",
            "telephone_number": "818-728-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKIASYAN",
        "first_name": "TIGRAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-20",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A93753",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CA",
            "license": "A93753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.