Active NPI
Kristina Karapetyan, PA
- Physician Assistant
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18057
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316113145 | Medicaid | CA | |
| 1598829434 | Medicaid | CA | |
| PA18057 | Other | CA | CA 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA18057 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Health Health for All Inc | Current | Accepting new patients | |
| All for Health Health for All Inc | Current | 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
- kristina.karapetyan.p1@direct.afh.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Federally Qualified Health Center (FQHC)
- Glendale, CA
- NPI 1568567220
-
- Federally Qualified Health Center (FQHC)
- Burbank, CA
- NPI 1700131679
-
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
- NPI 1023799285
-
- Family Medicine Physician
- Burbank, CA
- NPI 1578901237
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1376881847
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.