Individual provider Active NPI

Hakop Mkhsyan, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1518011006
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A42531 Issued in CA
Practice address
4645 Hollywood Blvd Ste 6
Los Angeles, CA 90027-5455
Phone
(323) 662-1077
Fax
(323) 662-1823
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A42531 CA Primary

Addresses

Primary practice location

4645 Hollywood Blvd Ste 6
Los Angeles, CA 90027-5455

Mailing address

4645 Hollywood Blvd Ste 6
Los Angeles, CA 90027-5455
Phone (323) 662-1077

Other identifiers 1

IdentifierTypeStateIssuer
00A425310MedicaidCA

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
I20110317000224 CA Practitioner - General Practice 8123200813 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4645 Hollywood Blvd
Suite 6
Los Angeles, CA 90027-5455
Phone (323) 662-1077

Hospital & facility affiliations

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
42531CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518011006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 HOLLYWOOD BLVD STE 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275455",
            "telephone_number": "323-662-1077",
            "fax_number": "323-662-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 HOLLYWOOD BLVD STE 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275455",
            "telephone_number": "323-662-1077",
            "fax_number": "323-662-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MKHSYAN",
        "first_name": "HAKOP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A425310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.