Individual provider Active NPI

Karine Yeghoyan, M.D.

  • Internal Medicine Physician
  • Mission Hills, CA
National Provider Identifier
1265664304
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A118734 Issued in CA
Practice address
11550 Indian Hills Rd Ste 240
Mission Hills, CA 91345-1202
Phone
(818) 488-5188
Fax
(818) 356-4220
NPI assigned
Aug 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A118734 CA Primary

Addresses

Primary practice location

11550 Indian Hills Rd Ste 240
Mission Hills, CA 91345-1202

Mailing address

11550 Indian Hills Rd Ste 240
Mission Hills, CA 91345-1202
Phone (818) 488-5188

Other practice location 1

19950 Rinaldi St # 101D
Porter Ranch, CA 91326-4141
Phone (818) 488-5188

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
I20121025000147 CA Practitioner - Internal Medicine 9830349067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11550 Indian Hills Rd
Suite 240
Mission Hills, CA 91345-1202
Phone (818) 488-5188

Hospital & facility affiliations

  • Valley Home Health, Inc Home health agency, N Hollywood, CA, CCN 058158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118734CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Internal Medicine. Inc CurrentSince Feb 2, 2016 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Internal Medicine PastSince Oct 6, 2015 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

11550 Indian Hills Rd
Ste 240
Mission Hills, CA 91345
Phone (818) 365-1668

19950 Rinaldi St
Ste 101D
Porter Ranch, CA 91326
Phone (818) 488-5188

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kyeghoyan669373@oc.providencedirect.org
  • Direct secure messaging: karine.yeghoyan.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 4

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": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1265664304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 240",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451202",
            "telephone_number": "818-488-5188",
            "fax_number": "818-356-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 240",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451202",
            "telephone_number": "818-488-5188",
            "fax_number": "818-356-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19950 Rinaldi St # 101D",
            "address_purpose": "LOCATION",
            "city": "Porter Ranch",
            "state": "CA",
            "postal_code": "913264141",
            "country_code": "US",
            "telephone_number": "818-488-5188",
            "fax_number": "818-356-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEGHOYAN",
        "first_name": "KARINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A118734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.