Active NPI
Haroutioun Diccran Mesrobian, M.D.
- Cardiovascular Disease Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A48097
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A480970 | Medicaid | CA |
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
Enrollment records 1
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48097 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartbeat Cardiovascular Medical Group | Cardiovascular Disease | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ararat Post Acute | 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.
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1649906348
Corporate Director, Trustee of the SNF
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.
-
- Cardiovascular Disease Physician
- Glendale, CA
- NPI 1205898525
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.