Christine Ayvazyan, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 16368 Issued in CA

Practice address

1500 S Central Ave
Suite 221
Glendale, CA 91204-2530

Phone

(818) 242-0475

Fax

(818) 662-0260

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: christine.ayvazyan.1@15679.direct.athenahealth.com

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.

• Core Geriatric Medical Group Inc

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1669114880
  NPD Authorized official
• Care Connect Medical Group

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1134669971
  Medicare reassignment
• Integrated Allied Medical Group

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1649970740
  Medicare reassignment
• Raffi R. Minasian, M.D., a Medical Corporation

  • Nephrology Physician
  • Glendale, CA
  • NPI 1194827386
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1457372542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 221",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "818-242-0475",
            "fax_number": "818-662-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 221",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "818-242-0475",
            "fax_number": "818-662-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYVAZYAN",
        "first_name": "CHRISTINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 16368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LISENSE",
            "identifier": "PA 16368",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sareen Pateel Ayvazian-Meserkhani, DDS
• Hermoz B Ayvazian, DPM
• Nairi Mathewsian Ayvazian, MMFT
• Sara Ayvazian
• Anna Ayvazyan
• Harutyun Vahan Ayvazyan
• Saline Ayvazyan
• Yan Ayzin, DDS
• Ani Azarian
• Arlene Mariam Azarian, MSW,ASW, LCSW

• Medical Physician Assistant in Glendale, CA
• Providers in Glendale, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.