Active NPI
Sevak Minassian, MD
- Internal Medicine Physician
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A175538
- Practice address
- 12660 Riverside Dr Ste 310
North Hollywood, CA 91607-3431 - Phone
- (818) 755-0391
- Fax
- (818) 753-8165
- NPI assigned
- Mar 1, 2018
- Last updated
- Aug 18, 2022
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A175538 | CA | Primary |
Addresses
Primary practice location
12660 Riverside Dr Ste 310
North Hollywood, CA 91607-3431
Mailing address
8510 Balboa Blvd Ste 150
Northridge, CA 91325-5810
Phone (818) 654-3400
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
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
519 E Broadway
Glendale, CA 91205-1110
Phone (818) 409-3020
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.57 of 100
- Quality
- 62.42
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 76.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A175538 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Health Health for All Inc | Current | Accepting new patients | |
| All for Health Health for All Inc | Current | Accepting new patients | |
| All for Health Health for All Inc | Current | Accepting new patients | |
| Lakeside Medical Organization, a Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Lakeside Medical Associates, a Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
| Lakeside Medical Associates, a Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671
401 S Glenoaks Blvd
Ste 101
Burbank, CA 91502
Phone (818) 748-1740
519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020
12660 Riverside Dr
Ste 310320
North Hollywood, CA 91607
Phone (818) 755-0391
8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- sevak.minassian.p1@direct.lakeside.nextgenshare.com
- sevak.minassianmd.p1@direct.afh.nextgenshare.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Glendale, CA
- NPI 1568567220
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
-
- Federally Qualified Health Center (FQHC)
- Glendale, CA
- NPI 1518398031
-
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
- NPI 1023799285
-
dba Lakeside Community Healthcare Medical Group
- Family Medicine Physician
- North Hollywood, CA
- NPI 1619975158
Internal Medicine
-
dba Lakeside Community Healthcare Medical Group
- Hospitalist Physician
- Glendale, CA
- NPI 1932129434
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1720580103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8510 BALBOA BLVD STE 150",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255810",
"telephone_number": "818-654-3400",
"fax_number": "818-654-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12660 RIVERSIDE DR STE 310",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916073431",
"telephone_number": "818-755-0391",
"fax_number": "818-753-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINASSIAN",
"first_name": "SEVAK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-01",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A175538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.