Violetta V Mailyan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A13859 Issued in CA

Practice address

815 E Colorado St
200
Glendale, CA 91205-1200

Phone

(818) 484-5434

Fax

(818) 484-5350

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Healthy Way Medical Center

  • Clinic/Center
  • Glendale, CA
  • NPI 1306399878
  Medicare reassignment NPD Authorized official
• Healthy Way Medical Center

  • Primary Care Clinic/Center
  • Glendale, CA
  • NPI 1518326958
  NPD (past) Authorized official

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1679959845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912091150",
            "telephone_number": "818-484-5434",
            "fax_number": "818-484-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E COLORADO ST",
            "address_2": "200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051200",
            "telephone_number": "818-484-5434",
            "fax_number": "818-484-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILYAN",
        "first_name": "VIOLETTA",
        "middle_name": "V",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjila Mahranian
• Alina Mahtesi Hacopian I
• Kevin Mai
• Hala Maida, M.S., LMFT
• Nino Mailov
• Angela Maio, BT
• Gevork Joe Maissian, D.O.
• Majestic Home Health Care Services, Inc.
• Amir Majied-Muhammad
• Major Medical Management, Inc.

• Family Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.