Individual provider Active NPI

Seda G Panossian, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1346353182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A45117 Issued in CA
Practice address
5000 W Sunset Blvd
650
Los Angeles, CA 90027-5861
Phone
(323) 666-9491
Fax
(323) 666-8332
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A45117 CA Primary

Addresses

Primary practice location

5000 W Sunset Blvd
650
Los Angeles, CA 90027-5861

Mailing address

5000 W Sunset Blvd
650
Los Angeles, CA 90027-5861
Phone (323) 666-9491

Other identifiers 2

IdentifierTypeStateIssuer
A45117OtherCAMEDICAL LICENSE
00A451170MedicaidCA

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
I20100108000460 CA Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family Practice 6002957396 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1957
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5000 W Sunset Blvd
Suite 650
Los Angeles, CA 90027-5866
Phone (323) 666-9491

Hospital & facility affiliations

  • Illuminate Home Health Care, Inc Home health agency, N Hollywood, CA, CCN 559469
  • Simple Soul Home Health Care, Inc. Home health agency, Van Nuys, CA, CCN 757570
  • Elation Home Health Inc Home health agency, Arcadia, CA, CCN 559022
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45117CAMDSpecialist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346353182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W SUNSET BLVD",
            "address_2": "650",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275861",
            "telephone_number": "323-666-9491",
            "fax_number": "323-666-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W SUNSET BLVD",
            "address_2": "650",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275861",
            "telephone_number": "323-666-9491",
            "fax_number": "323-666-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOSSIAN",
        "first_name": "SEDA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A45117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A45117",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A451170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.