Active NPI
David Ohanian
- Medical Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50.006832RX
- Practice address
- 4212 N 16TH St
Phoenix, AZ 85016-5319 - Phone
- (602) 263-1200
- NPI assigned
- Dec 24, 2016
- Last updated
- Jun 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA55289 | CA | |
| Physician Assistant | 363A00000X | 6618 | AZ | |
| Medical Physician Assistant | 363AM0700X | 50.006832RX | OH | Primary |
Addresses
Primary practice location
4212 N 16TH St
Phoenix, AZ 85016-5319
Mailing address
4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5665 New Northside Dr
320 Suite 320
Sandy Springs, GA 30328-5834
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA55289 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Arizona Em-I Medical Services PC | Physician Assistant | Current | Accepting new patients |
| Emergency Professional Services PC | Physician Assistant | Current | Accepting new patients |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Emergency Professional Services PC | Physician Assistant | Current | Accepting new patients |
Locations
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
11351 S Frontage Rd
Yuma, AZ 85367
Phone (928) 336-2000
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physician Assistant
- Yuma, AZ
- NPI 1144768862
-
dba Phoenix Indian Medical Center
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1215275433
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1518984210
-
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1245772870
-
dba Ak-Chin Clinic
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
- Emergency Medicine Physician
- Apache Junction, AZ
- NPI 1205273406
Physician Assistant
-
- Emergency Medicine Physician
- San Tan Valley, AZ
- NPI 1902936164
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1457896672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 N 16TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165319",
"telephone_number": "602-263-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 N 16TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165319",
"telephone_number": "602-263-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHANIAN",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-24",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA55289",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6618",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50.006832RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.