Siranoush H Kevorkian, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A35663 Issued in CA

Practice address

8781 Van Nuys Blvd
Panorama City, CA 91402-2406

Phone

(818) 920-0808

Fax

(818) 920-6603

NPI assigned

Dec 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All-Inclusive Community Health CenterGroup PAC ID 5294905006, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• All-Inclusive Community Health Center

  • Primary Care Clinic/Center
  • Burbank, CA
  • NPI 1093019051
  Medicare reassignment Care Compare group NPD
• All-Inclusive Community Health Center

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1174996177
  NPD
• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1114916293
  NPD (past)
• Mahfouz M. Michael,M.D.,Inc.

  dba Clinica Medica San Miguel

  • Obstetrics & Gynecology Physician
  • Huntington Park, CA
  • NPI 1134348261
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457416265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PALM DRIVE",
            "address_2": "UNIT 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022406",
            "telephone_number": "818-920-0808",
            "fax_number": "818-920-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVORKIAN",
        "first_name": "SIRANOUSH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A35663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A356630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Edward Keeling-Torrez, RADT
• Harout Kelechian, PHARMD
• Artak Kerimian, PHARMD.
• Patrick Warren Kerrigan, PHARM.D.
• Christine Jasmine Keshishyan
• Key to Health Homecare, Inc.
• Teny Khachadourian, PHARMD
• Mohammad Cyrus Khaledy, MD
• Kelly Khamkongsay
• Abeer Khan, OTR/L, CLC

• General Practice Physician in Panorama City, CA
• Providers in Panorama City, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.