Sirvard Khanoyan, MD
Individual provider Active NPI Family Medicine Physician · Glendale, CA
NPI 1669424586 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1669424586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A80900 (CA)
- Practice address
- 544 N Glendale Ave Ste B
Glendale, CA 91206-3311 - Phone
- (747) 212-3441
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Tufts University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adventist Health Physicians Network
Practice addresses (Care Compare)
1560 E Chevy Chase Dr
Suite 355
Glendale, CA 91206-4159
Phone (747) 212-3441
2750 Sycamore Dr
Simi Valley, CA 93065-1500
Hospital & facility affiliations
- Glendale Adventist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
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 |
|---|---|---|---|---|
| I20041103000620 | CA | Practitioner - Family Practice | 9133181928 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80900 | CA | MD | Family Medicine Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Emergency Physicians Medical Group, a Professional Corp | Current | Accepting new patients | |
| California Emergency Physicians Medical Group a Professional Corp | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Family Medicine | Current |
Accepting new patients |
| Adventist Health Physicians Network | Family Medicine | Current | Accepting new patients |
| California Emergency Physicians Medical Group a Professional Corp | Current |
Accepting new patients | |
| Cedars-Sinai Medical Center | Past |
Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000
1560 E Chevy Chase Dr
Ste 355
Glendale, CA 91206
Phone (747) 212-3441
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
1975 Verdugo Blvd
Ste A
La Canada Flintridge, CA 91011
Phone (747) 212-3441
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A80900 | CA | Yes |
Addresses
Primary practice location
544 N Glendale Ave Ste B
Glendale, CA 91206-3311
Mailing address
2100 Powell St Ste 400
Emeryville, CA 94608-1826
Phone (510) 350-2600
Other practice location 1
1975 Verdugo Blvd Ste A
LA Canada Flintridge, CA 91011-3024
Phone (747) 212-3441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A809000 | Medicaid | CA |
Other providers in Glendale, CA
- Arevik Khalatyan
- Sera Khaneshan
- Eliza Khanjian
- Eric Khanlarian
- Happy N Khanna
- Henrik Khatchatourian
- Linda Khatchatourian
- Elizabeth Khatchaturian
- Zaven Khatchaturian
- Biayna Khatchetourian
All providers in Glendale, CA · Family 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 Feb 3, 2021. 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.