NPIMap

Organization Active NPI

Armen Hovhannisyan MD Group Inc

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1669653077
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A99959 Issued in CA
Legal business name
ARMEN HOVHANNISYAN MD GROUP INC
Practice address
5250 W Century Blvd Ste 333
Los Angeles, CA 90045-5919
Phone
(310) 342-7000
NPI assigned
Nov 14, 2007
Last updated
Dec 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Dr. Armen Hovhannisyan, MDNPI 1740488998
Title
Medical Doctor MD
Phone
(310) 342-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A99959 CA Primary

Addresses

Primary practice location

5250 W Century Blvd Ste 333
Los Angeles, CA 90045-5919

Mailing address

5250 W Century Blvd Ste 333
Los Angeles, CA 90045-5919
Phone (310) 342-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000481 CA Part B Supplier - Clinic/Group Practice 8820171515 Receives reassigned benefits from 1 practitioner
Practice locations: Inglewood, CA; Los Angeles, CA; Hawthorne, CA; Gardena, CA

National Provider Directory

National Provider Directory

Locations

5250 W Century Blvd
Ste 333
Los Angeles, CA 90045
Phone (310) 342-7000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1669653077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W CENTURY BLVD STE 333",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455919",
            "telephone_number": "310-342-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W CENTURY BLVD STE 333",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455919",
            "telephone_number": "310-342-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMEN HOVHANNISYAN MD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR MD",
        "authorized_official_telephone_number": "310-342-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A99959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.