Individual provider Active NPI

Hapetnak Shaybekyan, MD

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1730754763
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A193054 Issued in CA
Practice address
800 S Central Ave Ste 206
Glendale, CA 91204-4379
Phone
(818) 862-4000
Fax
(818) 616-8660
NPI assigned
May 21, 2021
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A193054 CA Primary

Addresses

Primary practice location

800 S Central Ave Ste 206
Glendale, CA 91204-4379

Mailing address

800 S Central Ave Ste 206
Glendale, CA 91204-4379
Phone (818) 862-4000

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
I20240822002106 CA Practitioner - Family Practice 4486050978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7412 Foothill Blvd
Tujunga, CA 91042-2722
Phone (818) 465-4200

800 S Central Ave
Suite 206
Glendale, CA 91204-4379
Phone (818) 862-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of skin lesions12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A193054CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellbridge Health Center Single Specialty CurrentSince Mar 29, 2025 Accepting new patients
Lilit Baltaian MD Inc Single Specialty Past Accepting new patients

Locations

800 S Central Ave
Ste 206
Glendale, CA 91204
Phone (818) 240-2233

7412 Foothill Blvd
Tujunga, CA 91042
Phone (818) 353-1512

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBIFDD/Endpoint/JBIFDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHHDD/Endpoint/JCHHDD

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1730754763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044379",
            "telephone_number": "818-862-4000",
            "fax_number": "818-616-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044379",
            "telephone_number": "818-862-4000",
            "fax_number": "818-616-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYBEKYAN",
        "first_name": "HAPETNAK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A193054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.