Individual provider Active NPI

Alexander G. Gevorgyan, M.D.

  • Clinical Neurophysiology Physician
  • Glendale, CA
National Provider Identifier
1346504628
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
A133154 Issued in CA
Practice address
1332 S Glendale Ave
Glendale, CA 91205-3349
Phone
(818) 649-9232
Fax
(818) 696-0922
NPI assigned
Jul 1, 2012
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X A133154 CA Primary

Addresses

Primary practice location

1332 S Glendale Ave
Glendale, CA 91205-3349

Mailing address

1332 S Glendale Ave
Glendale, CA 91205-3349
Phone (818) 649-9232

Other practice location 1

1520 San Pablo St
Suite 3000
Los Angeles, CA 90033-5310
Phone (323) 442-5975

Other names 1

  • Karen Gevorgyan Former name

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
I20170202002602 CA Practitioner - NeurologyPractitioner - Other (Physician) 6709780026 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alexander G Gevorgyan MD IncGroup PAC ID 0244599785, 4 clinicians

Practice addresses (Care Compare)

1332 S Glendale Ave
Glendale, CA 91205-3349
Phone (818) 649-9232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133154CAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander G Gevorgyan MD Inc CurrentSince Dec 1, 2017 Accepting new patients
Alexander G Gevorgyan MD Inc CurrentSince Dec 1, 2017 Accepting new patients
Antoine J Elhajjar M.D., Inc. CurrentSince Feb 20, 2019 Accepting new patients
Vahe Akopian MD Inc CurrentSince Apr 1, 2025 Accepting new patients
Cognacare Neurologic, Inc CurrentSince Apr 1, 2025 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

1332 S Glendale Ave
Glendale, CA 91205
Phone (818) 243-4500

1451 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 265-2245

46100 Washington St
La Quinta, CA 92253
Phone (760) 340-0528

23928 Lyons Ave
Ste 102
Santa Clarita, CA 91321
Phone (661) 222-2326

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21528/brand/1/csg/1/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.

Hospital & facility affiliations 3

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": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1346504628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053349",
            "telephone_number": "818-649-9232",
            "fax_number": "818-696-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053349",
            "telephone_number": "818-649-9232",
            "fax_number": "818-696-0922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 San Pablo St",
            "address_2": "Suite 3000",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335310",
            "country_code": "US",
            "telephone_number": "323-442-5975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEVORGYAN",
        "first_name": "ALEXANDER",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-01",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A133154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "GEVORGYAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.