Individual provider Active NPI

Gevork Joe Maissian, D.O.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1639320658
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A10524 Issued in CA
Practice address
1737 W Glenoaks Blvd
Glendale, CA 91201-1542
Phone
(818) 243-1186
Fax
(818) 243-3868
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10524 CA Primary
Hospitalist Physician 208M00000X 20A10524 CA

Addresses

Primary practice location

1737 W Glenoaks Blvd
Glendale, CA 91201-1542

Mailing address

1737 W Glenoaks Blvd
Glendale, CA 91201-1542
Phone (818) 243-1186

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
I20090108000495 CA Practitioner - Internal Medicine 7618030255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8719 Woodley Ave
North Hills Medical Center
North Hills, CA 91343-4729
Phone (818) 920-1232

Hospital & facility affiliations

  • Curing Hands Home Health, Inc Home health agency, Burbank, CA, CCN 059361
  • Sudario Home Health Care, Inc Home health agency, Glendale, CA, CCN 559227
  • Valley Home Health, Inc Home health agency, N Hollywood, CA, CCN 058158
  • Mobile-Care Home Health Agency, Inc Home health agency, Sherman Oaks, CA, CCN 757055
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10524CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenwest Medical Center, Inc. Internal Medicine CurrentSince Jul 13, 2009 Accepting new patients
Glenwest Medical Center, Inc. Internal Medicine CurrentSince Jul 13, 2009 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

1737 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 243-1186

8719 Woodley Ave
Sepulveda, CA 91343
Phone (818) 920-1232

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1639320658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011542",
            "telephone_number": "818-243-1186",
            "fax_number": "818-243-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011542",
            "telephone_number": "818-243-1186",
            "fax_number": "818-243-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISSIAN",
        "first_name": "GEVORK",
        "middle_name": "JOE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10524",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A10524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.