NPIMap

Individual provider Active NPI

Emil Avanes, M.D.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1508023318
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A110814 Issued in CA
Practice address
3217 N Verdugo Rd Ste 1
Glendale, CA 91208-1676
Phone
(818) 369-7470
Fax
(818) 369-7471
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A110814 CA Primary

Addresses

Primary practice location

3217 N Verdugo Rd Ste 1
Glendale, CA 91208-1676

Mailing address

3217 N Verdugo Rd Ste 1
Glendale, CA 91208-1676
Phone (818) 369-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000736 CA Practitioner - Internal MedicinePractitioner - General Practice 1355519554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emil Avanes MD a Professional CorporationGroup PAC ID 2062661580, 2 clinicians

Practice addresses (Care Compare)

3217 N Verdugo Rd
Suite 1
Glendale, CA 91208-1676
Phone (818) 369-7470

Hospital & facility affiliations

  • Sas Home Health Care Home health agency, Reseda, CA, CCN 757542
  • Melrose Comfort Hospice, Inc Hospice, Burbank, CA, CCN A01729
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Adventist Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Regents of the University of California Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: emil.avanes.1@8237.direct.athenahealth.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
Melrose Comfort Hospice, Inc.Burbank, CA, CCN A01729 Hospice Contracted Managing Employee Aug 25, 2020

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 4

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.

Hospital & facility affiliations 4

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1508023318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 N VERDUGO RD STE 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081676",
            "telephone_number": "818-369-7470",
            "fax_number": "818-369-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 N VERDUGO RD STE 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081676",
            "telephone_number": "818-369-7470",
            "fax_number": "818-369-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVANES",
        "first_name": "EMIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A110814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.