Individual provider Active NPI

Angineh Carol Abkarian I, PSY.D.

  • Clinical Psychologist
  • Santa Monica, CA
National Provider Identifier
1255525671
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23337 Issued in CA
Practice address
701 Santa Monica Blvd Ste 230
Santa Monica, CA 90401-2625
Phone
(310) 993-4103
NPI assigned
Aug 29, 2007
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY23337 CA Primary

Addresses

Primary practice location

701 Santa Monica Blvd Ste 230
Santa Monica, CA 90401-2625

Mailing address

701 Santa Monica Blvd Ste 230
Santa Monica, CA 90401-2625
Phone (818) 421-4341

Other names 1

  • Dr. Carol Abkarian Professional name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000562 CA Practitioner - Clinical Psychologist 3274662838 Reassigns benefits to 2 organizations
Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oceanside Medical Group a Medical CorporationGroup PAC ID 9335311042, 18 clinicians

Practice addresses (Care Compare)

701 Santa Monica Blvd
Suite 230
Santa Monica, CA 90401-2625
Phone (310) 993-4103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY23337CAMDClinical Psychologist
23337CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lavs Access Center Inc. CurrentSince May 23, 2018 Accepting new patients

Locations

1012 W Beverly Blvd
Montebello, CA 90640

620 W Beverly Blvd
Ste B
Montebello, CA 90640
Phone (209) 791-3120

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1255525671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SANTA MONICA BLVD STE 230",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012625",
            "telephone_number": "818-421-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SANTA MONICA BLVD STE 230",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012625",
            "telephone_number": "310-993-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABKARIAN",
        "first_name": "ANGINEH",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "ABKARIAN",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.