Individual provider Active NPI

Kristina Karapetyan, PA

  • Physician Assistant
  • Burbank, CA
National Provider Identifier
1598829434
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18057 Issued in CA
Practice address
401 S. Glenoals Blvd
Suite 101
Burbank, CA 91502-1911
Phone
(818) 748-1740
Fax
(818) 748-1741
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18057 CA Primary

Addresses

Primary practice location

401 S. Glenoals Blvd
Suite 101
Burbank, CA 91502-1911

Mailing address

519 E Broadway
Glendale, CA 91205-1110
Phone (818) 291-9747

Other identifiers 3

IdentifierTypeStateIssuer
1316113145MedicaidCA
1598829434MedicaidCA
PA18057OtherCACA PA LIC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000481 CA Practitioner - Physician Assistant 3870514979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
College of Osteo Med of the Pacific at Pomona, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All for Health Health for All IncGroup PAC ID 5698734788, 37 clinicians

Practice addresses (Care Compare)

401 S Glenoaks Blvd
Burbank, CA 91502-2707
Phone (818) 748-1740

5160 Vineland Ave
North Hollywood, CA 91601-3888
Phone (818) 738-7774

519 E Broadway
Glendale, CA 91205-1110
Phone (818) 409-3020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18057CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Oct 6, 2015 Accepting new patients
All for Health Health for All Inc CurrentSince Oct 6, 2015 Accepting new patients
All for Health Health for All Inc Past Accepting new patients
Tsovinar Tekkelian,M.D.,Inc. Past Accepting new patients
Comcare Primary Medical Group a California General Partnership Past Accepting new patients

Locations

401 S Glenoaks Blvd
Ste 101
Burbank, CA 91502
Phone (818) 748-1740

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kristina.karapetyan.p1@direct.afh.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1598829434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051110",
            "telephone_number": "818-291-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S. GLENOALS BLVD",
            "address_2": "SUITE 101",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021911",
            "telephone_number": "818-748-1740",
            "fax_number": "818-748-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAPETYAN",
        "first_name": "KRISTINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316113145",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598829434",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PA LIC",
            "identifier": "PA18057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.