Individual provider Active NPI

Armen Azatian, M.D.

  • Psychiatry Physician
  • Pacoima, CA
National Provider Identifier
1578670964
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A89967 Issued in CA
Practice address
12450 Van Nuys Blvd Ste 200
Pacoima, CA 91331-1393
Phone
(818) 896-1161
Fax
(818) 896-5069
NPI assigned
Aug 23, 2006
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A89967 CA Primary

Addresses

Primary practice location

12450 Van Nuys Blvd Ste 200
Pacoima, CA 91331-1393

Mailing address

12450 Van Nuys Blvd Ste 200
Pacoima, CA 91331-1393
Phone (818) 896-1161

Other practice location 1

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 453-6599

Other identifiers 3

IdentifierTypeStateIssuer
7068MedicaidCA
6758MedicaidCA
7420MedicaidCA

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
I20051121000901 CA Practitioner - Psychiatry 1658390455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillview Mental Health Center, Inc.Group PAC ID 5597869933, 7 clinicians

Practice addresses (Care Compare)

12450 Van Nuys Blvd
Suite 200
Pacoima, CA 91331-1393
Phone (818) 896-1161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89967CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillview Mental Health Center, Inc. CurrentSince Jun 9, 2020 Accepting new patients
Enki Health Services, Inc. CurrentSince Jan 5, 2010 Accepting new patients
Enki Health Services, Inc. CurrentSince Jan 5, 2010 Accepting new patients
Enki Health Services, Inc. Current Accepting new patients

Locations

6001 Clara St
Bell Gardens, CA 90201
Phone (562) 806-5000

150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899

1436 Goodrich Blvd
Commerce, CA 90022
Phone (323) 725-1337

160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971

2523 W 7th St
Los Angeles, CA 90057
Phone (213) 480-1557

12450 Van Nuys Blvd
Ste 200
Pacoima, CA 91331
Phone 8188961161 ext. 211

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, 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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1578670964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 VAN NUYS BLVD STE 200",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311393",
            "telephone_number": "818-896-1161",
            "fax_number": "818-896-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 VAN NUYS BLVD STE 200",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311393",
            "telephone_number": "818-896-1161",
            "fax_number": "818-896-5069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-453-6599",
            "fax_number": "559-453-8234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZATIAN",
        "first_name": "ARMEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A89967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7068",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6758",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacoima, CA

Sources for this page

Verify at the official NPI Registry.