Johny IV, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A158595 Issued in CA

Practice address

1420 S Central Ave
Glendale, CA 91204-2508

Phone

(818) 502-1900

Fax

(732) 776-4798

NPI assigned

Apr 30, 2015

Last updated

Jun 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Anesthesiology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Orange Coast Anesthesia Inc

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1508138256
  Medicare reassignment Care Compare group NPD
• Willow Brook Critical Care Medical Group, Inc

  • Hospitalist Physician
  • Glendale, CA
  • NPI 1811520224
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba Glendale Memorial Hospital and Health Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1326425208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 STATE ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07754",
            "telephone_number": "732-776-4483",
            "fax_number": "732-776-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042508",
            "telephone_number": "818-502-1900",
            "fax_number": "732-776-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IV",
        "first_name": "JOHNY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A158595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Israelyan
• Hasmik Michelle Israelyan
• Annie Issagholyan, D.C.
• Francie Issenman, LCSW
• Kelly Iuculano
• Sunny Ivanyi
• Satenik Ivic, RN
• Ivy Home Health Inc
• Ivy Medical Clinic Inc
• Charise Leanne Ivy, M.D.

• Anesthesiology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.

Verify at the official NPI Registry.