Active NPI
Anahid Hamparsumian, MD
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1508369331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 11301 Wilshire Blvd.
Los Angeles, CA 90073 - Phone
- (818) 891-7711
- NPI assigned
- Mar 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 165475 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Internal Medicine Physician | 207R00000X | 165475 | CA |
Addresses
Primary practice location
11301 Wilshire Blvd.
Los Angeles, CA 90073
Mailing address
20361 Via Varadero
Yorba Linda, CA 92887-3138
Phone (714) 329-4639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241004001258 | NC | Order and Referring Only - Hematology/Oncology | 5496156028 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165475 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1508369331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20361 VIA VARADERO",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928873138",
"telephone_number": "714-329-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90073",
"telephone_number": "818-891-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPARSUMIAN",
"first_name": "ANAHID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-18",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "165475",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "165475",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.