Active NPI
Hambik H. Tankazyan, D.O.
- Cardiovascular Disease Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 20A12498
- Practice address
- 660 W Broadway
Glendale, CA 91204 - Phone
- (818) 243-9600
- NPI assigned
- Apr 18, 2011
- Last updated
- Jul 16, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 20A12498 | CA | Primary |
Addresses
Primary practice location
660 W Broadway
Glendale, CA 91204
Mailing address
660 W Broadway
Glendale, CA 91204-1008
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
660 W Broadway
Glendale, CA 91204-1008
Phone (818) 243-9600
Hospital & facility affiliations
- Glendale Adventist Medical Center
- Usc Verdugo Hills Hospital
- Glendale Mem Hospital & HLTH Center
- Keck Hospital of Usc
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 57 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A12498 | CA | MD | Cardiovascular Disease Physician |
| 12498 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartbeat Cardiovascular Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients |
Locations
1809 Verdugo Blvd
Ste 200
Glendale, CA 91208
Phone (818) 790-4730
1809 Verdugo Blvd
Ste 220
Glendale, CA 91208
Phone (818) 495-7041
660 W Broadway
Glendale, CA 91204
Phone (818) 243-9600
1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000
1300 N Vermont Ave
Ste 1009
Los Angeles, CA 90027
Phone (323) 666-6210
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- hht110pcs@m580.primeclinicalsystems.direct-ci.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Glendale, CA
- NPI 1205898525
-
dba Adventist Health Glendale
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
dba Verdugo Hills Hospital
- General Acute Care Hospital
- Glendale, CA
- NPI 1265875207
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Glendale Memorial Hospital and Health Center
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
-
dba Adventist Health Glendale
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
dba Keck Hospital of USC
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1013514199
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1033716147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1720378268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 W BROADWAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 W BROADWAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91204",
"telephone_number": "818-243-9600"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANKAZYAN",
"first_name": "HAMBIK",
"middle_name": "H.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-18",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "20A12498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.