Active NPI
Armen Yeghia Nercessian, D.O.
- General Practice Physician
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 20A6784
- Practice address
- 2425 S Azusa Ave
West Covina, CA 91792-1536 - Phone
- (626) 839-9111
- Fax
- (626) 964-9191
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 20A6784 | CA | Primary |
Addresses
Primary practice location
2425 S Azusa Ave
West Covina, CA 91792-1536
Mailing address
2425 S Azusa Ave
West Covina, CA 91792-1536
Phone (626) 839-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX67840 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2425 S Azusa Ave
West Covina, CA 91792-1536
Phone (626) 839-9111
Hospital & facility affiliations
- Americare Home Health, Inc
- Concord Home Health
- Care in Style Home Health Care
- Integrated Home Health Care, Inc.
- Royal Crown Home Health Care, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6784 | CA | MD | General Practice Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unicare Community Health Center Inc | Current | Accepting new patients | |
| Unicare Community Health Center, Inc. | Current | Accepting new patients | |
| Unicare Community Health Center, Inc. | Current | Accepting new patients | |
| Doctors Hospital of West Covina, Inc. | Past | Accepting new patients | |
| La Mobile Ultrasound, Inc | Past | Accepting new patients | |
| Ahmc Whittier Hospital Medical Center LP | Past | Accepting new patients |
Locations
1151 E Walnut St
Ontario, CA 91761
Phone (909) 467-0797
437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835
1501 E Holt Ave
Ste A
Pomona, CA 91767
Phone (909) 623-3600
570 S Mount Vernon Ave
Ste G
San Bernardino, CA 92410
Phone (909) 884-6700
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Unicare Community Health Center, Inc. | Federally qualified health center | Corporate Officer | Jan 21, 2014 |
| Unicare Community Health Center, Inc. | Federally qualified health center | Corporate Officer | Jan 21, 2014 |
| Unicare Community Health Center, Inc. | Federally qualified health center | Corporate Officer | Jan 21, 2014 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1265854061
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Pomona, CA
- NPI 1356763155
Corporate Officer
-
- Federally Qualified Health Center (FQHC)
- Ontario, CA
- NPI 1710309513
Corporate Officer
Organizations & group practices 7
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.
-
- General Practice Physician
- Glendale, CA
- NPI 1023390770
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1639066491
-
- Federally Qualified Health Center (FQHC)
- Fontana, CA
- NPI 1174984041
-
- Federally Qualified Health Center (FQHC)
- Huntington Park, CA
- NPI 1871484618
-
- Medicare Defined Swing Bed Hospital Unit
- Whittier, CA
- NPI 1497855605
-
- Skilled Nursing Facility
- West Covina, CA
- NPI 1013925072
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Burbank, CA
- NPI 1437497831
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Van Nuys, CA
- NPI 1033460795
-
- Home Health Agency
- Glendale, CA
- NPI 1295461739
-
- Home Health Agency
- Los Angeles, CA
- NPI 1679156475
-
- Home Health Agency
- Van Nuys, CA
- NPI 1942801840
-
- Home Health Agency
- Studio City, CA
- NPI 1760856975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1679534374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 S AZUSA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921536",
"telephone_number": "626-839-9111",
"fax_number": "626-964-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 S AZUSA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921536",
"telephone_number": "626-839-9111",
"fax_number": "626-964-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERCESSIAN",
"first_name": "ARMEN",
"middle_name": "YEGHIA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "20A6784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX67840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.