Organization Active NPI

Michael Y. Karapetian, M.D. Medical Clinic, Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1467559062
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A63531 Issued in CA
Legal business name
MICHAEL Y. KARAPETIAN, M.D. MEDICAL CLINIC, INC
Practice address
5220 Santa Monica Blvd
Suite E
Los Angeles, CA 90029-1234
Phone
(323) 913-9300
Fax
(323) 660-9723
NPI assigned
Sep 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Michael Y. Karapetian, M.D.NPI 1750312427
Title
President
Phone
(323) 913-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X A63531 CA Primary

Addresses

Primary practice location

5220 Santa Monica Blvd
Suite E
Los Angeles, CA 90029-1234

Mailing address

5220 Santa Monica Blvd
Suite E
Los Angeles, CA 90029-1234
Phone (323) 913-9300

Other identifiers 2

IdentifierTypeStateIssuer
00A635310MedicaidCA
00A635200MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070305000222 CA Part B Supplier - Clinic/Group Practice 3274635651 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0966992Michael Y Karapetian MD Medical Clinic Inc5220 Santa Monica Blvd Ste E, Los Angeles, CA 90029Certificate of waiverMay 21, 2027

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1467559062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 SANTA MONICA BLVD",
            "address_2": "SUITE E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291234",
            "telephone_number": "323-913-9300",
            "fax_number": "323-660-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 SANTA MONICA BLVD",
            "address_2": "SUITE E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291234",
            "telephone_number": "323-913-9300",
            "fax_number": "323-660-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL Y. KARAPETIAN, M.D. MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-18",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "KARAPETIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-913-9300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A63531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A635310",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A635200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.