Harut Madatovian, DO

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

20A15143 Issued in CA

Practice address

2595 E Washington Blvd Ste 106
Pasadena, CA 91107-1409

Phone

(818) 203-1797

NPI assigned

Oct 23, 2014

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

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

Family Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Complete Care Community Health Center, IncGroup PAC ID 3779494190, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellness Plus Home Health Inc Home health agency, Los Angeles, CA, CCN 758004
• Clio Home Health, Inc. Home health agency, Van Nuys, CA, CCN 758205
• 1St Family Home Health, Inc. Home health agency, Panorama City, CA, CCN 559642

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: harut.madatovianmd.p1@direct.ccchcenter.nextgenshare.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • Los Angeles, CA
  • NPI 1215113964
  Medicare reassignment Care Compare group NPD
• Embrace Family Medicine Corporation

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1205439320
  Medicare reassignment NPD Authorized official
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Visalia, CA
  • NPI 1316729403
  NPD
• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • South Gate, CA
  • NPI 1811397888
  NPD
• Prime Healthcare Services - Montclair, LLC

  • General Acute Care Hospital
  • Montclair, CA
  • NPI 1992721161
  NPD (past)

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

• 1St Family Home Health, Inc.

  • Home Health Agency
  • Sun Valley, CA
  • NPI 1821606096
  Care Compare affiliation
• Clio Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1477252641
  Care Compare affiliation
• Wellness Plus Home Health Inc

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1821852955
  Care Compare affiliation

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1225433006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8239 HATILLO AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913061911",
            "telephone_number": "818-203-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 E WASHINGTON BLVD STE 106",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071409",
            "telephone_number": "818-203-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADATOVIAN",
        "first_name": "HARUT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A15143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Macleod
• David Thomas Macpherson, M.D.
• Irene Macpherson
• Vazrik Madadi
• Nancy R Madani, LMFT
• Vinita P. Madavaraj
• Caroline Madden, MFT
• Alexandra Maddox, MA, LMFT
• James Maddox
• Alexander J Madera

• Sports Medicine (Family Medicine) Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.