Individual provider Active NPI

Haroutioun Diccran Mesrobian, M.D.

  • Cardiovascular Disease Physician
  • Glendale, CA
National Provider Identifier
1477536738
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A48097 Issued in CA
Practice address
660 W Broadway
Glendale, CA 91204-1008
Phone
(818) 243-9600
Fax
(818) 243-9605
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A48097 CA Primary

Addresses

Primary practice location

660 W Broadway
Glendale, CA 91204-1008

Mailing address

660 W Broadway
Glendale, CA 91204-1008
Phone (818) 243-9600

Other identifiers 1

IdentifierTypeStateIssuer
00A480970MedicaidCA

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
I20110426000275 CA Practitioner - Cardiovascular Disease (Cardiology) 0547262362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Foreign Dental Schools, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartbeat Cardiovascular Medical GroupGroup PAC ID 0840258778, 9 clinicians

Practice addresses (Care Compare)

660 W Broadway
Glendale, CA 91204-1008
Phone (818) 243-9600

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48097CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartbeat Cardiovascular Medical Group Cardiovascular Disease CurrentSince Jan 28, 2022 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

660 W Broadway
Glendale, CA 91204
Phone (818) 243-9600

801 S Chevy Chase Dr
Ste 101
Glendale, CA 91205
Phone (323) 242-5299

1701 E Cesar E Chavez Ave
Ste 355
Los Angeles, CA 90033
Phone (323) 225-8025

1300 N Vermont Ave
Ste 600
Los Angeles, CA 90027
Phone (323) 665-5600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hdm102pcs@m580.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 Corporate Director
Trustee of the SNF
Apr 1, 2014
Apr 1, 2014

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 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1477536738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041008",
            "telephone_number": "818-243-9600",
            "fax_number": "818-243-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041008",
            "telephone_number": "818-243-9600",
            "fax_number": "818-243-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESROBIAN",
        "first_name": "HAROUTIOUN",
        "middle_name": "DICCRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A48097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A480970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.