Individual provider Active NPI

Rozanna Avetyan

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1710159843
Registry record updated Mar 28, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 20, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
1015 N Lake Ave
Suite 202
Pasadena, CA 91104-4573
Phone
(626) 398-1250
Fax
(626) 398-1238
NPI assigned
Mar 28, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

1015 N Lake Ave
Suite 202
Pasadena, CA 91104-4573

Mailing address

1015 N Lake Ave
Suite 202
Pasadena, CA 91104-4573
Phone (626) 398-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
550000208CAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Americas Best Home Health Care, Inc. Home Health Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1710159843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N LAKE AVE",
            "address_2": "SUITE 202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044573",
            "telephone_number": "626-398-1250",
            "fax_number": "626-398-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N LAKE AVE",
            "address_2": "SUITE 202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044573",
            "telephone_number": "626-398-1250",
            "fax_number": "626-398-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVETYAN",
        "first_name": "ROZANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.