Individual provider Active NPI

Anna Gabrielian, M.D.

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1659528602
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
125051793 Issued in IL
Practice address
409 N Central Ave
Glendale, CA 91203-2001
Phone
(818) 265-7777
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 125051793 IL Primary

Addresses

Primary practice location

409 N Central Ave
Glendale, CA 91203-2001

Mailing address

409 N Central Ave
Glendale, CA 91203-2001
Phone (818) 265-7777

Other identifiers 2

IdentifierTypeStateIssuer
036125040 1MedicaidIL
P00986796OtherILRRMC

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
I20140822001384 CA Practitioner - Ophthalmology 7517091853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Specialty Eye Care Medical Center , IncGroup PAC ID 8628981693, 4 clinicians

Practice addresses (Care Compare)

1146 N Brand Blvd
Glendale, CA 91202-2504
Phone (818) 265-7777

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125051793ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Eye Care Medical Center, Inc. Ophthalmology CurrentSince Jul 1, 2014 Accepting new patients
Glendale Adventist Medical Center Ophthalmology Past Accepting new patients
Specialty Eye Care Medical Center, Inc. Ophthalmology Past Accepting new patients
Illinois Retina Associates PLLC Ophthalmology PastSince Jan 24, 1991 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology Past Accepting new patients
The New York Eye & Ear Infirmary Ophthalmology Associates, P.C. Past Accepting new patients
Alexander Rabinovich Medical PC Ophthalmology PastSince Sep 24, 2009 Accepting new patients
Rush University Medical Center Past Accepting new patients
Specialty Eye Care Medical Center, Inc. Ophthalmology Past Accepting new patients

Locations

409 N Central Ave
Ste B
Glendale, CA 91203

409 N Central Ave
Glendale, CA 91203
Phone (818) 265-7755

1146 N Brand Blvd
Glendale, CA 91202
Phone (818) 265-7722

5449 Hollywood Blvd
Ste B
Los Angeles, CA 90027
Phone (323) 871-1777

13739 Riverside Dr
Ste A
Sherman Oaks, CA 91423
Phone (818) 386-0008

7739 Santa Monica Blvd
West Hollywood, CA 90046
Phone (323) 656-7771

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1659528602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032001",
            "telephone_number": "818-265-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032001",
            "telephone_number": "818-265-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELIAN",
        "first_name": "ANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "125051793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036125040 1",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00986796",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.