NPIMap

Individual provider Active NPI

Ara Hagop Dikranian, M.D

  • Rheumatology Physician
  • San Diego, CA
National Provider Identifier
1609962026
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A62403 Issued in CA
Practice address
3633 Camino del Rio S Ste 300
San Diego, CA 92108-4014
Phone
(619) 287-9730
Fax
(619) 398-1869
NPI assigned
Oct 4, 2006
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A062403 CA
Rheumatology Physician 207RR0500X A62403 CA Primary

Addresses

Primary practice location

3633 Camino del Rio S Ste 300
San Diego, CA 92108-4014

Mailing address

3633 Camino del Rio S Ste 300
San Diego, CA 92108-4014
Phone (619) 287-9730

Other identifiers 1

IdentifierTypeStateIssuer
00A624030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040130000858 CA Practitioner - RheumatologyPractitioner - Internal Medicine 0345143897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cabrillo Center for Rheumatic Disease ApcGroup PAC ID 9739315037, 5 clinicians

Practice addresses (Care Compare)

1420 Ocotillo Dr
Suite B
El Centro, CA 92243-4251
Phone (619) 334-4869

5030 Camino de la Siesta
Suite 106
San Diego, CA 92108-3117
Phone (619) 334-4869

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
32.86 of 100Reported as group
Quality
10
Improvement activities
0
Cost
70.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A062403CAMDSpecialist
A62403CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Medical Group Inc. Rheumatology CurrentSince Oct 9, 2023 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Morrison Multi-Specialties Companies Inc Rheumatology PastSince Nov 10, 2019 Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Puja Chitkara M.D. a Medical Corporation Rheumatology PastSince Sep 1, 2016 Accepting new patients

Locations

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

5030 Camino de la Siesta
Ste 106
San Diego, CA 92108
Phone (619) 692-4401

960 W San Marcos Blvd
Ste 210
San Marcos, CA 92078
Phone (760) 707-6765

2095 W Vista Way
Ste 216
Vista, CA 92083
Phone (619) 289-9239

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ara.dikranian.1@13982.direct.athenahealth.com
  • Direct secure messaging: ara.dikranian.2@16606.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10718/brand/3/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/13982/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1609962026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CAMINO DEL RIO S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084014",
            "telephone_number": "619-287-9730",
            "fax_number": "619-398-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CAMINO DEL RIO S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084014",
            "telephone_number": "619-287-9730",
            "fax_number": "619-398-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKRANIAN",
        "first_name": "ARA",
        "middle_name": "HAGOP",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A062403",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A62403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A624030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.