Greater la Pain Specialists Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

GREATER LA PAIN SPECIALISTS INC

Practice address

12626 Riverside Dr Ste 306
Valley Village, CA 91607-3477

Phone

(747) 277-4555

Fax

(747) 277-4888

NPI assigned

Oct 18, 2021

Last updated

Dec 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hripsime Avagyan, DONPI 1790122687

Title

President

Phone

(818) 808-8811

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25127/brand/1/csg/1/fhir/r4

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.

• Hripsime Avagyan, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Reseda, CA
  • NPI 1790122687
  Medicare reassignment NPD Authorized official
• Anna Khudaverdyan

  • Acute Care Nurse Practitioner
  • Valley Village, CA
  • NPI 1346068095
  NPD

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1225791171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 FOOTHILL BLVD UNIT 12359",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912247042",
            "telephone_number": "747-277-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 306",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073477",
            "telephone_number": "747-277-4555",
            "fax_number": "747-277-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LA PAIN SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "AVAGYAN",
        "authorized_official_first_name": "HRIPSIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-808-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A15266",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nell Kathleen Goodman
• Mariah E Goodnight
• Morgan Goodwin, LAC
• Graceful Peace Hospice
• Great American Hospice, Inc.
• Vanya Green, MA, LPCC, MT-BC
• Richard James Gribin, M.A., LMFT
• Debra Groff
• Grosleib Dental Corporation (Valley Village Dental)
• James William Grosleib, DDS

• Pain Medicine (Anesthesiology) Physician in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.