NPIMap

Individual provider Active NPI

Derenik Estepanian, M.D.

  • Hospitalist Physician
  • West Hollywood, CA
National Provider Identifier
1457714982
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A151787 Issued in CA
Practice address
8700 Beverly Blvd
West Hollywood, CA 90048
Phone
(310) 786-7204
NPI assigned
Apr 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 151787 CA
Hospitalist Physician 208M00000X A151787 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd
West Hollywood, CA 90048

Mailing address

311 North Robertson Blvd
PMB 150
Beverly Hills, CA 90211

Other practice location 1

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 786-7204

Other identifiers 1

IdentifierTypeStateIssuer
DE3232267556MedicaidCA

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
I20190815003611 CA Practitioner - Internal MedicinePractitioner - Hospitalist 2163759994 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Concord Hospitalist Group a Medical CorporationGroup PAC ID 3072899228, 15 clinicians

Practice addresses (Care Compare)

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 246-8000

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (818) 333-3164

Hospital & facility affiliations

  • Wish Home Health Care Inc Home health agency, Burbank, CA, CCN 559410
  • Universal Home Care, Inc. Home health agency, Beverly Hills, CA, CCN 557669
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696
  • La Crescenta Healthcare Center Nursing home, La Crescenta, CA, CCN 055960
  • Leisure Glen Post Acute Care Center Nursing home, Glendale, CA, CCN 055845
  • Glendale Adventist Medical Center DP/SNF Nursing home, Glendale, CA, CCN 555911

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151787CAMDInternal Medicine Physician
A151787CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospitalist Group a Medical Corporation Hospitalist CurrentSince Jan 16, 2024 Accepting new patients
Cognacare Neurologic, Inc CurrentSince Sep 1, 2025 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 11, 2021 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist CurrentSince Oct 11, 2021 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

2185 Citracado Pkwy
#1182
Escondido, CA 92029
Phone (805) 473-7626

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

1451 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 265-2245

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 9

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 11

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1457714982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NORTH ROBERTSON BLVD",
            "address_2": "PMB 150",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-786-7204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "90048",
            "country_code": "US",
            "telephone_number": "310-786-7204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTEPANIAN",
        "first_name": "DERENIK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "151787",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A151787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3232267556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.