Individual provider Active NPI

Sevak Minassian, MD

  • Internal Medicine Physician
  • North Hollywood, CA
National Provider Identifier
1720580103
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A175538 Issued in CA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614003187 CA Practitioner - Internal Medicine 0244619625 Reassigns benefits to 2 organizations

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 100Reported as group
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

LicenseStateTypeSpecialty
A175538CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Sep 10, 2025 Accepting new patients
All for Health Health for All Inc CurrentSince Sep 10, 2025 Accepting new patients
All for Health Health for All Inc Current Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Internal Medicine CurrentSince Feb 26, 2022 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Internal Medicine PastSince Feb 26, 2022 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Internal Medicine PastSince Aug 28, 2022 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sevak.minassian.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.