Individual provider Active NPI

Viken Razmig Konyalian, MD

  • Surgery Physician
  • Long Beach, CA
National Provider Identifier
1467482133
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A78310 Issued in CA
Practice address
701 E 28TH St
#314
Long Beach, CA 90806-2759
Phone
(714) 615-1870
Fax
(562) 981-9318
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A78310 CA Primary

Addresses

Primary practice location

701 E 28TH St
#314
Long Beach, CA 90806-2759

Mailing address

701 E 28TH St
#314
Long Beach, CA 90806-2759
Phone (714) 615-1870

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
I20061219000340 CA Practitioner - General PracticePractitioner - General SurgeryPractitioner - Vascular Surgery 6103825286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Vascular Surgery
Education
Saint Louis University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 Katella Ave
Suite 402
Los Alamitos, CA 90720-3395
Phone (562) 598-6700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)14
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Viken Konyalian MD Inc Surgery CurrentSince Apr 30, 2003 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
University of California Irvine Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

701 E 28th St
Ste 314
Long Beach, CA 90806
Phone (562) 595-8599

3801 Katella Ave
Ste 402
Los Alamitos, CA 90720
Phone (562) 431-2946

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467482133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "#314",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "714-615-1870",
            "fax_number": "562-981-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "#314",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "714-615-1870",
            "fax_number": "562-981-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONYALIAN",
        "first_name": "VIKEN",
        "middle_name": "RAZMIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A78310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.