Individual provider Active NPI

Michael Harutunians, DO

  • Anesthesiology Physician
  • Colton, CA
National Provider Identifier
1457514978
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A10390 Issued in CA
Practice address
400 N Pepper Ave
2ND Floor, Anesthesia Dept.
Colton, CA 92324-1801
Phone
(909) 580-2439
Fax
(909) 580-2441
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A10390 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
2ND Floor, Anesthesia Dept.
Colton, CA 92324-1801

Mailing address

PO Box 765
Colton, CA 92324-0800
Phone (909) 580-2439

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
I20081103000644 CA Practitioner - Anesthesiology 6507925724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelle Anesthesia Services IncGroup PAC ID 4688046774, 41 clinicians
Inland Empire Anesthesia Medical Group, IncGroup PAC ID 1052310331, 38 clinicians

Practice addresses (Care Compare)

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-2440

400 Old River Rd
Bakersfield, CA 93311-9781
Phone (661) 663-6000

Hospital & facility affiliations

  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245
  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10390CAMDAddiction (Substance Use Disorder) Counselor
20A10390CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Empire Anesthesia Medical Group, Inc Anesthesiology CurrentSince Jul 1, 2008 Accepting new patients
Excelle Anesthesia Services, Inc. Anesthesiology CurrentSince Nov 8, 2022 Accepting new patients

Locations

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

400 N Pepper Ave
Fl 2
Colton, CA 92324
Phone (909) 580-2440

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1457514978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923240800",
            "telephone_number": "909-580-2439",
            "fax_number": "909-580-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "2ND FLOOR, ANESTHESIA DEPT.",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-2439",
            "fax_number": "909-580-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARUTUNIANS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A10390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.