Manuel P Momjian, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A98448 Issued in CA

Practice address

946 N Brand Blvd
Glendale, CA 91202-2905

Phone

(818) 662-7000

Fax

(818) 662-7131

NPI assigned

Aug 28, 2007

Sex

Male

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SC Physician GroupGroup PAC ID 6103980958, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• SC Physician Group

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1316198997
  Medicare reassignment Care Compare group NPD Authorized official
• Glendale Mutual Care Clinic

  • Primary Care Clinic/Center
  • Glendale, CA
  • NPI 1972768158
  NPD (past)
• Y & Y Medical Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1578819751
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1609060185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE",
            "address_2": "STE 140",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023687",
            "telephone_number": "818-662-7000",
            "fax_number": "818-662-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022905",
            "telephone_number": "818-662-7000",
            "fax_number": "818-662-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMJIAN",
        "first_name": "MANUEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A98448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Molina
• Mindy Molina
• Joelle Mary Molloy
• Svitlana Molodyk
• Neda Momeni, FNP
• Nona Nana Momjyan
• Sara Momtaheni, BCBA
• Monarch Center for Developmental Services
• Monarch Provider Group
• Nicole Monge

• Family Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.