Individual provider Active NPI

Anaida Melkumian, MD

  • General Practice Physician
  • Long Beach, CA
National Provider Identifier
1275584898
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A91329 Issued in CA
Practice address
2865 Atlantic Ave
223
Long Beach, CA 90806-1740
Phone
(562) 595-6770
Fax
(562) 595-6770
NPI assigned
May 16, 2006
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A91329 CA
General Practice Physician 208D00000X A91329 CA Primary

Addresses

Primary practice location

2865 Atlantic Ave
223
Long Beach, CA 90806-1740

Mailing address

2865 Atlantic Ave
Ste 223
Long Beach, CA 90806-1740
Phone (562) 595-6770

Other identifiers 1

IdentifierTypeStateIssuer
00A913290MedicaidCA

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
I20051212000477 CA Practitioner - General PracticePractitioner - Family Practice 6608897251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

519 E Broadway
Glendale, CA 91205-1110
Phone (818) 409-3020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91329CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Nov 1, 2019 Accepting new patients
All for Health Health for All Inc Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
NPI 1366540353 Current Accepting new patients
All for Health Health for All Inc Current Accepting new patients
California Specialty Medical Group General Practice PastSince Feb 8, 2011 Accepting new patients
Foygelman Podiatric Corporation Past Accepting new patients
Harmony Medical Group, Inc. Family Medicine PastSince Oct 1, 2006 Accepting new patients

Locations

1300 S Central Ave
Glendale, CA 91204
Phone (818) 579-2395

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

800 S Central Ave
Ste 308
Glendale, CA 91204
Phone (818) 332-2233

5160 Vineland Ave
Ste 109
North Hollywood, CA 91601
Phone (818) 738-7774

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1275584898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "STE 223",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061740",
            "telephone_number": "562-595-6770",
            "fax_number": "562-595-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "223",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061740",
            "telephone_number": "562-595-6770",
            "fax_number": "562-595-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELKUMIAN",
        "first_name": "ANAIDA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A91329",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A91329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A913290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.