Individual provider Active NPI

Elizabeth Sovakian, PA-C

  • Physician Assistant
  • Glendale, CA
National Provider Identifier
1497385470
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1000 N Central Ave Ste 140
Glendale, CA 91202-3687
Phone
(818) 746-2626
NPI assigned
Jan 18, 2020
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1000 N Central Ave Ste 140
Glendale, CA 91202-3687

Mailing address

1000 N Central Ave Ste 140
Glendale, CA 91202-3687
Phone (818) 662-7000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200417003225 CA Practitioner - Physician Assistant 4284064072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SC Physician GroupGroup PAC ID 6103980958, 2 clinicians

Practice addresses (Care Compare)

1000 N Central Ave
Suite 140
Glendale, CA 91202-2957

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8562

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1497385470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE STE 140",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023687",
            "telephone_number": "818-662-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE STE 140",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023687",
            "telephone_number": "818-746-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVAKIAN",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.