Ani Koussayan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33731TLG Issued in CA

Practice address

10605 Balboa Blvd Ste 230
Granada Hills, CA 91344-6344

Phone

(818) 368-4114

NPI assigned

Jul 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Karine Shaghoyan Inc

  • Optometrist
  • Granada Hills, CA
  • NPI 1134697600
  NPD

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

{
    "created_epoch": "1499558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1578085866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD STE 230",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD STE 230",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446344",
            "telephone_number": "818-368-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUSSAYAN",
        "first_name": "ANI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33731TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zorica Knezevic
• Marina Kobryn, RN, WHNP-BC
• Marlene Kokanian, AGNP; RN
• Christina G. Konyashin, FNP-C
• Alex Javier Kopelowicz, M.D.
• Clarisse Figueroa Kovelman, RN
• Yulia Kozlov, PHARMD
• Barbara K Kraemer, LCSW
• Evelina Krpekyan
• Jimmy Tung-Yee Kuo, PHARM.D.

• Optometrist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.

Verify at the official NPI Registry.