Hovsep Ghevont Mahdessian, MD
Individual provider Active NPI Internal Medicine Physician · Palmdale, CA
NPI 1659544203 · NPPES record last updated Nov 23, 2011
Key facts
- NPI
- 1659544203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A102305 (CA)
- Practice address
- 327 E Palmdale Blvd
Palmdale, CA 93550-7139 - Phone
- (661) 273-5888
- NPI assigned
- Apr 3, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roy Medical Group Inc
High Desert Medical Corporation
Practice addresses (Care Compare)
1543 E Palmdale Blvd
Palmdale, CA 93550-2000
43839 15TH St W
Lancaster, CA 93534-4756
Phone (661) 945-5984
Hospital & facility affiliations
- Giving Hands Home Health Care, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090610000584 | CA | Practitioner - Internal Medicine |
9133279284 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A102305 | CA | MD | Internal Medicine Physician |
| O36.120147 | IL | MD | Internal Medicine Physician |
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| And Inc | Current |
Accepting new patients | |
| High Desert Medical Group | Internal Medicine | Current |
Accepting new patients |
| Roy Medical Group, Inc. | Current |
Accepting new patients | |
| Noalab Clinic Inc. | Internal Medicine | Current |
Accepting new patients |
| And Inc | Current | Accepting new patients | |
| Lakeside Medical Organization, a Medical Group Inc. | Internal Medicine | Current |
Accepting new patients |
| Kenneth V. Miselis, M.D. Inc. | Past | Accepting new patients | |
| Our Lady of Providence PT Clinic | Past | Accepting new patients | |
| Lakeside Medical Associates, a Medical Group, Inc. | Past | Accepting new patients |
Locations
191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671
191 S Buena Vista St
Ste 150
Burbank, CA 91505
Phone (818) 295-5920
1146 N Central Ave
Glendale, CA 91202
Phone (818) 500-0910
43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984
6428 Coldwater Canyon Ave
North Hollywood, CA 91606
Phone (818) 308-6440
6426 Coldwater Canyon Ave
North Hollywood, CA 91606
Phone (818) 763-2801
8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000
1543 E Palmdale Blvd
Ste F
Palmdale, CA 93550
Phone (661) 480-1838
1543 E Palmdale Blvd
Ste C
Palmdale, CA 93550
Phone (661) 274-1200
3605 Alamo St
Ste 100
Simi Valley, CA 93063
Phone (805) 522-6577
1500 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 430-9991
1500 W West Covina Pkwy
Ste 102
West Covina, CA 91790
Phone (818) 295-5920
1500 W West Covina Pkwy
Fl 1
West Covina, CA 91790
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHIDDD
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- hovsep.mahdessian.p1@direct.lakeside.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | O36.120147 | IL | |
| Internal Medicine Physician | 207R00000X | A102305 | CA | Yes |
Addresses
Primary practice location
327 E Palmdale Blvd
Palmdale, CA 93550-7139
Mailing address
327 E Palmdale Blvd
Palmdale, CA 93550
Phone (661) 273-5888
Other providers in Palmdale, CA
- Leslie Madrigal
- Pablo Mateo Maese
- Jennifer Mafukeni
- Isamar Magallanes
- Priscilla Magana
- Omid Mahgerefteh
- Nancy Lee Mahmood
- Jasmine K Maiden
- Shafieh Makehei
- Amir Shahram Makoui
All providers in Palmdale, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.