Marina E Manvelyan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A055018 Issued in CA

Practice address

2544 E Washington Blvd
Suite 3
Pasadena, CA 91107-1449

Phone

(626) 798-1085

Fax

(626) 798-9041

NPI assigned

Oct 11, 2005

Sex

Female

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

Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Washington Medical Group 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medchoice la Home Health Care, Inc Home health agency, Arcadia, CA, CCN 757176
• Elpis Home Health Home health agency, La Crescenta, CA, CCN 559034
• Concord Home Health Care Home health agency, Pasadena, CA, CCN 058218
• Calstro Hospice Los Angeles Hospice, Alhambra, CA, CCN A11610
• Huntington Hospital Hospital, Pasadena, CA, CCN 050438
• Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
• Golden Rose Care Center Nursing home, Pasadena, CA, CCN 055862
• Camellia Gardens Care Center Nursing home, Pasadena, CA, CCN 056316
• The Californian Pasadena Healthcare Nursing home, Pasadena, CA, CCN 055480

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (2 of 3)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: marinamanvelyan@wmgmia.allscriptsdirect.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Creative Hospice Care Inc

  • Community Based Hospice Care Agency
  • Alhambra, CA
  • NPI 1194361964

  Contracted Managing Employee

  CMS ownership

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.

• Washington Medical Group

  • Specialist
  • Pasadena, CA
  • NPI 1942571047

  CA

  Medicare reassignment Care Compare group NPD Authorized official
• Pasadena Hospital Association, LTD.

  • Psychiatric Hospital Unit
  • Pasadena, CA
  • NPI 1437121142
  NPD (past)

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

• Bellefontaine Health Center LLC

  • Skilled Nursing Facility
  • Pasadena, CA
  • NPI 1962180265

  Nursing home

  Care Compare affiliation
• Creative Hospice Care Inc

  • Community Based Hospice Care Agency
  • Alhambra, CA
  • NPI 1194361964

  Hospice

  Care Compare affiliation
• Elpis Home Health

  • Home Health Agency
  • La Crescenta, CA
  • NPI 1447778873
  Care Compare affiliation
• Highland Healthcare Camellia Gardens, LLC

  • Skilled Nursing Facility
  • Pasadena, CA
  • NPI 1891337234

  Nursing home

  Care Compare affiliation
• Medchoice la Home Health Care Inc

  • Home Health Agency
  • Arcadia, CA
  • NPI 1699358978
  Care Compare affiliation
• Pasadena Hospital Association, LTD

  • General Acute Care Hospital
  • Pasadena, CA
  • NPI 1407828429

  Hospital

  Care Compare affiliation
• Providence Home Health Care, Inc

  • Home Health Agency
  • Pasadena, CA
  • NPI 1548393978
  Care Compare affiliation
• RG Legacy I, LLC

  • Skilled Nursing Facility
  • Pasadena, CA
  • NPI 1851987234

  Nursing home

  Care Compare affiliation
• Usc Verdugo Hills Hospital

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

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1215925409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 E WASHINGTON BLVD",
            "address_2": "SUITE 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071449",
            "telephone_number": "626-798-1085",
            "fax_number": "626-798-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 E WASHINGTON BLVD",
            "address_2": "SUITE 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071449",
            "telephone_number": "626-798-1085",
            "fax_number": "626-798-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANVELYAN",
        "first_name": "MARINA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A055018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A550180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fariba Mansouri, PH.D.
• Mantra Chiropractic by Sayadyan and Orudzhyan, Inc.
• Manuel Weiskopf, M.D., a Medical Coporation
• Paula Lanette Manuel
• Armine Manukyan
• Shylo Ann Manzanares
• Anneka Jacynth Manzano
• Ivana Amber Brown Manzano
• Rebekka Jean Manzella, MS, OTR/L
• Kathryn Manzke, RDN

• All providers in Pasadena, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.