Individual provider Active NPI

Ernest Gyolchyan, DPT

  • Physical Therapist
  • Tarzana, CA
National Provider Identifier
1275226524
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304045 Issued in CA
Practice address
18411 Clark St Ste 302
Tarzana, CA 91356-3541
Phone
(818) 501-7276
NPI assigned
Jun 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 304045 CA Primary

Addresses

Primary practice location

18411 Clark St Ste 302
Tarzana, CA 91356-3541

Mailing address

18411 Clark St Ste 302
Tarzana, CA 91356-3541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802003753 CA Practitioner - Physical Therapist in Private Practice 8921469206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 E Olive Ave
Suite 530
Burbank, CA 91501-2132
Phone (424) 850-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Sports Medicine a Medical Corporation Multi-Specialty CurrentSince Jun 1, 2023 Accepting new patients
Flexpoint Physical Therapy, Inc Physical Therapist CurrentSince Dec 13, 2025 Accepting new patients
Lurie Physical Therapy PC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Primary Care Sports Medicine a Medical Corporation Multi-Specialty CurrentSince Jun 1, 2023 Accepting new patients

Locations

500 E Olive Ave
Burbank, CA 91501
Phone (818) 254-9967

500 E Olive Ave
Ste 530
Burbank, CA 91501
Phone (424) 850-0011

17071 Ventura Blvd
Ste 103
Encino, CA 91316
Phone (818) 232-4884

18411 Clark St
Ste 302
Tarzana, CA 91356
Phone (818) 501-7276

7320 Woodlake Ave
Ste 200
West Hills, CA 91307
Phone (818) 381-5959

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.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1275226524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST STE 302",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST STE 302",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563541",
            "telephone_number": "818-501-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYOLCHYAN",
        "first_name": "ERNEST",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.