Individual provider Active NPI

Eduard Hayrapet Panosyan, M.D.

  • Pediatrics Physician
  • Torrance, CA
National Provider Identifier
1336324920
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A101164 Issued in CA
Practice address
1000 W. Carson Street,
BLDG N25, Mail Box 468. Harbor-UCLA Medcntr, Pediatrics
Torrance, CA 90509
Phone
(310) 222-4171
Fax
(310) 320-2271
NPI assigned
Jan 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A101164 CA Primary

Addresses

Primary practice location

1000 W. Carson Street,
BLDG N25, Mail Box 468. Harbor-UCLA Medcntr, Pediatrics
Torrance, CA 90509

Mailing address

1000 W. Carson Street,
BLDG N25, Mail Box 468. Harbor-UCLA Medcntr, Pediatrics
Torrance, CA 90509
Phone (310) 222-4171

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
I20111018000521 CA Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 8527230440 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101164CAMDMarriage & Family Therapist
A101164CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jan 30, 2017 Accepting new patients
County of Los Angeles CurrentSince Jan 30, 2017 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1000 W Carson St
#480
Torrance, CA 90502
Phone (310) 222-5026

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

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.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1336324920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W. CARSON STREET,",
            "address_2": "BLDG N25, MAIL BOX 468. HARBOR-UCLA MEDCNTR, PEDIATRICS",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90509",
            "telephone_number": "310-222-4171",
            "fax_number": "310-320-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W. CARSON STREET,",
            "address_2": "BLDG N25, MAIL BOX 468. HARBOR-UCLA MEDCNTR, PEDIATRICS",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90509",
            "telephone_number": "310-222-4171",
            "fax_number": "310-320-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOSYAN",
        "first_name": "EDUARD",
        "middle_name": "HAYRAPET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A101164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.