Individual provider Active NPI

Nellie Rose Ekmekjian, M.D.

  • Emergency Medicine Physician
  • Studio City, CA
National Provider Identifier
1467898478
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A132561 Issued in CA
Practice address
12400 Ventura Blvd
#1021
Studio City, CA 91604-2406
Phone
(818) 907-2825
NPI assigned
May 16, 2013
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A132561 CA Primary

Addresses

Primary practice location

12400 Ventura Blvd
#1021
Studio City, CA 91604-2406

Mailing address

12400 Ventura Blvd
#1021
Studio City, CA 91604-2406

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
I20160718001077 CA Practitioner - Emergency Medicine 9830498450 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Geffen School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burbank Emergency Medical Group IncGroup PAC ID 2961308036, 29 clinicians

Practice addresses (Care Compare)

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 843-5111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
79.31
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.12 of 100Reported as group
Quality
77.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132561CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine CurrentSince Jul 23, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jun 23, 2016 Accepting new patients
West Hills Emergency Medical Associates, Inc Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Sherman Oaks Emergency Medical Associates Emergency Medicine CurrentSince Jul 25, 2016 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jun 23, 2016 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Burbank Emergency Medical Group Inc Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

751 Medical Center Ct
#1182
Chula Vista, CA 91911

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

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

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

Interoperability endpoints

  • Direct secure messaging: nekmekjian62273@direct.llu.edu
  • Direct secure messaging: nellie.ekmekjian.1@25843.direct.athenahealth.com

Organizations & group practices 10

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 1

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1467898478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 VENTURA BLVD",
            "address_2": "#1021",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 VENTURA BLVD",
            "address_2": "#1021",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042406",
            "telephone_number": "818-907-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKMEKJIAN",
        "first_name": "NELLIE",
        "middle_name": "ROSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A132561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.