NPIMap

Individual provider Active NPI

Gregor Paronian, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
National Provider Identifier
1366627945
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A107875 Issued in CA
Practice address
1713 E Walnut St
Pasadena, CA 91106-1611
Phone
(626) 696-3607
Fax
(626) 696-3907
NPI assigned
Jan 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A107875 CA Primary

Addresses

Primary practice location

1713 E Walnut St
Pasadena, CA 91106-1611

Mailing address

1713 E Walnut St
Pasadena, CA 91106-1611
Phone (626) 696-3607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121009000448 CA Practitioner - Internal Medicine 1557510401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Internists Medical GroupGroup PAC ID 2668895012, 3 clinicians

Practice addresses (Care Compare)

1713 E Walnut St
Pasadena, CA 91106-1611
Phone (626) 696-3607

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Diagnostics Center Inc CurrentSince Sep 27, 2023 Accepting new patients
Southern California Internists Medical Group Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients

Locations

1713 E Walnut St
Pasadena, CA 91106
Phone (602) 299-4679

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Generations Healthcare Agency IncPasadena, CA, CCN 553199 Home health agency Contracted Managing Employee (100%) Dec 22, 2023
Five Star Home Hospice, Inc.Pasadena, CA, CCN 551631 Hospice Contracted Managing Employee Nov 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1366627945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061611",
            "telephone_number": "626-696-3607",
            "fax_number": "626-412-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061611",
            "telephone_number": "626-696-3607",
            "fax_number": "626-696-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARONIAN",
        "first_name": "GREGOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A107875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.