Individual provider Active NPI

Armen Yeghia Nercessian, D.O.

  • General Practice Physician
  • West Covina, CA
National Provider Identifier
1679534374
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A6784 Issued in CA
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

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00AX67840MedicaidCA

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
I20120404000578 CA Practitioner - General Practice 9032125034 Reassigns benefits to 2 organizations

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 Home health agency, Van Nuys, CA, CCN 059594
  • Concord Home Health Home health agency, Van Nuys, CA, CCN 757204
  • Care in Style Home Health Care Home health agency, Glendale, CA, CCN 757952
  • Integrated Home Health Care, Inc. Home health agency, North Hollywood, CA, CCN 757524
  • Royal Crown Home Health Care, Inc Home health agency, Studio City, CA, CCN 553120

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6784CAMDGeneral Practice Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Unicare Community Health Center Inc Current Accepting new patients
Unicare Community Health Center, Inc. CurrentSince Mar 5, 2015 Accepting new patients
Unicare Community Health Center, Inc. CurrentSince Mar 5, 2015 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.

FacilityTypeRoleSince
Unicare Community Health Center, Inc.San Bernardino, CA, CCN 751811 Federally qualified health center Corporate Officer Jan 21, 2014
Unicare Community Health Center, Inc.Ontario, CA, CCN 751810 Federally qualified health center Corporate Officer Jan 21, 2014
Unicare Community Health Center, Inc.Pomona, CA, CCN 751827 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.

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.