Active NPI
Evlyn Avanessian, M.D
- Family Medicine Physician
- La Crescenta, CA
National Provider Identifier
1295020709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A127456
- Practice address
- 3628 Foothill Blvd
La Crescenta, CA 91214-1724 - Phone
- (818) 296-9601
- Fax
- (818) 296-9602
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A127456 | CA | Primary |
Addresses
Primary practice location
3628 Foothill Blvd
La Crescenta, CA 91214-1724
Mailing address
3628 Foothill Blvd
La Crescenta, CA 91214-1724
Phone (818) 296-9601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A127456 | Other | CA | MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3628 Foothill Blvd
La Crescenta, CA 91214-1724
Phone (818) 296-9601
Hospital & facility affiliations
- Restart Home Health Care Inc
- Glendale Adventist Medical Center
- Usc Verdugo Hills Hospital
- Northridge Hospital Medical Center
- Glendale Post Acute Center
- Ararat Convalescent Hospital
- Glendale Adventist Medical Center DP/SNF
- Oakpark Healthcare Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 89.47
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A127456 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evlyn Avanessian, MD, Inc | Family Medicine | Current | Accepting new patients |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients |
Locations
3628 Foothill Blvd
La Crescenta, CA 91214
Phone (818) 296-9601
7709 Foothill Blvd
Tujunga, CA 91042
Phone (818) 352-3146
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- evlynavanessianmd@eami-ca.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Family Medicine Physician
- La Crescenta, CA
- NPI 1457768731
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1265875207
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1003958356
Nursing home
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
- Home Health Agency
- La Crescenta, CA
- NPI 1699419309
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1033716147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1295020709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3628 FOOTHILL BLVD",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912141724",
"telephone_number": "818-296-9601",
"fax_number": "818-296-9602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 FOOTHILL BLVD",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912141724",
"telephone_number": "818-296-9601",
"fax_number": "818-296-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVANESSIAN",
"first_name": "EVLYN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A127456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A127456",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.