Individual provider Active NPI

Anderanik Tomasian, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1356591267
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A136782 Issued in CA
Practice address
1500 San Pablo St
2ND Floor
Los Angeles, CA 90033-5313
Phone
(323) 442-8541
Fax
(323) 442-8755
NPI assigned
Sep 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A136782 CA Primary

Addresses

Primary practice location

1500 San Pablo St
2ND Floor
Los Angeles, CA 90033-5313

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-8541

Other practice location 1

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-0690

Other practice location 2

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-0690

Other identifiers 1

IdentifierTypeStateIssuer
200012200MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tomasiana@clinicalradiologist.com Direct
Direct Messaging Address anderanik.tomasian@direct.usc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CA, IN, IL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140421000198 MO Practitioner - Diagnostic Radiology 6305075508 Reassigns benefits to 1 organization
I20150617001468 CA Practitioner - Diagnostic Radiology 6305075508 Reassigns benefits to 4 organizations
I20201124002494 IN Practitioner - Diagnostic Radiology 6305075508 Reassigns benefits to 1 organization
I20201207000061 IL Practitioner - Diagnostic Radiology 6305075508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Radiologists SCGroup PAC ID 3476540873, 32 clinicians
UC RegentsGroup PAC ID 3274446182, 105 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

1185 N 1000
Greene County General Hospital
Linton, IN 47441-5282
Phone (812) 847-5212

1201 Ricker Rd
Salem, IL 62881-4263
Phone (217) 726-8096

1404 Cross St
Shiloh, IL 62269-2988
Phone (217) 726-8096

3050 Montvale Dr
Suite a
Springfield, IL 62704-6924
Phone (217) 726-8096

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (217) 726-8096

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136782CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Radiologists, S.C. Diagnostic Radiology CurrentSince Aug 25, 2020 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Jun 1, 2015 Accepting new patients
County of Los Angeles CurrentSince Dec 1, 2017 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2015 Accepting new patients
County of Los Angeles CurrentSince Dec 1, 2017 Accepting new patients
Memorial Hospital Past Accepting new patients
Schuyler County Hospital District Past Accepting new patients
Alton Memorial Hospital Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Elite Chiropractic Center LLC Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1500 S Douglass Rd
Ste 200
Anaheim, CA 92806

11190 Warner Ave
Ste 110
Fountain Vly, CA 92708
Phone (714) 431-0303

1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

2509 Pico Blvd
Santa Monica, CA 90405
Phone (310) 664-7901

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

2122 Troy Rd
Ste 130
Edwardsville, IL 62025
Phone (618) 692-9876

3 Ginger Creek Vlg
Glen Carbon, IL 62034
Phone (618) 792-2762

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

3050 Montvale Dr
Ste A
Springfield, IL 62704
Phone (217) 222-9302

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

100 Medical Dr
Hannibal, MO 63401

Interoperability endpoints

  • Direct secure messaging: anderanik.tomasian@direct.usc.edu
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

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": "1222473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1356591267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-8541",
            "fax_number": "323-442-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "address_2": "2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-8541",
            "fax_number": "323-442-8755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Lees Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641391236",
            "country_code": "US",
            "telephone_number": "816-404-0690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMASIAN",
        "first_name": "ANDERANIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-27",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A136782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200012200",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tomasiana@clinicalradiologist.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 San Pablo St",
            "address_2": "2nd Floor",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anderanik.tomasian@direct.usc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 San Pablo St",
            "address_2": "2nd Floor",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.