Active NPI
Mary Crystal Kasmajian
- Physician Assistant
- Alhambra, CA
National Provider Identifier
1760116123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1000 S Fremont Ave BLDG a-11
Alhambra, CA 91803-8800 - Phone
- (626) 457-4240
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1000 S Fremont Ave BLDG a-11
Alhambra, CA 91803-8800
Mailing address
1000 S Fremont Ave BLDG A11
Alhambra, CA 91803-8800
Other practice location 1
17210 Mayall St
Northridge, CA 91325-1555
Phone (818) 933-1188
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Southern California Keck School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 863-4000
Hospital & facility affiliations
- Glendale Adventist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.41 of 100
- Quality
- 79.31
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matian Medical Corp | Current | 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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Glendale, CA
- NPI 1679907869
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
-
- Family Medicine Physician
- Sherman Oaks, CA
- NPI 1356453724
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1760116123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S FREMONT AVE BLDG A11",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918038800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S FREMONT AVE BLDG A-11",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918038800",
"telephone_number": "626-457-4240"
}
],
"practiceLocations": [
{
"address_1": "17210 Mayall St",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913251555",
"country_code": "US",
"telephone_number": "818-933-1188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASMAJIAN",
"first_name": "MARY",
"middle_name": "CRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2023-05-24",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.