Individual provider Active NPI

Meri Antossyan, D.O

  • Family Medicine Physician
  • Valencia, CA
National Provider Identifier
1457738460
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A13819 Issued in CA
Practice address
23861 McBean Pkwy Ste E24
Valencia, CA 91355-4457
Phone
(661) 284-3100
NPI assigned
Apr 28, 2015
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A13819 CA Primary

Addresses

Primary practice location

23861 McBean Pkwy Ste E24
Valencia, CA 91355-4457

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1975 Verdugo Blvd Ste A
LA Canada Flintridge, CA 91011-3024
Phone (747) 212-3441

Other practice location 2

544 N Glendale Ave Ste B
Glendale, CA 91206-3311
Phone (747) 212-3441

Other names 1

  • Mary Antossyan Other name

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
I20161005001389 CA Practitioner - Family Practice 4082902192 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 Flower St
Glendale, CA 91201-3007
Phone (818) 659-5000

1560 E Chevy Chase Dr
Suite 355
Glendale, CA 91206-4159
Phone (747) 212-3441

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

2750 Sycamore Dr
Simi Valley, CA 93065-1500

4323 W Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13819CAMDOptometrist
20A13819CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jan 1, 2026 Accepting new patients
Adventist Health Physicians Network Family Medicine Current Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2025 Accepting new patients
The Regents of the University of California Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
The Regents of the University of California CurrentSince Jan 1, 2026 Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2025 Accepting new patients
Regents of the University of California Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Cedars-Sinai Medical Center PastSince Apr 1, 2020 Accepting new patients

Locations

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

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

1975 Verdugo Blvd
Ste A
La Canada Flintridge, CA 91011
Phone (747) 212-3441

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

File 59755
Los Angeles, CA 90074

892 Aerovista Pl
Ste 240
San Luis Obispo, CA 93401
Phone (805) 541-8252

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

23861 McBean Pkwy
Ste E24
Valencia, CA 91355
Phone (661) 259-8252

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mar104pcs@m1796.primeclinicalsystems.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Ararat Post AcuteGlendale, CA, CCN 555616 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 1, 2023
Mar 1, 2023

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 8

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 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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1457738460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23861 MCBEAN PKWY STE E24",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554457",
            "telephone_number": "661-284-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 Verdugo Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "LA Canada Flintridge",
            "state": "CA",
            "postal_code": "910113024",
            "country_code": "US",
            "telephone_number": "747-212-3441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "544 N Glendale Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912063311",
            "country_code": "US",
            "telephone_number": "747-212-3441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTOSSYAN",
        "first_name": "MERI",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ANTOSSYAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.