Hermoz B Ayvazian, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3761 Issued in CA

Practice address

110 S Adams St
Glendale, CA 91205-1312

Phone

(818) 242-4426

Fax

(818) 242-4409

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glendale Foot and Ankle Podiatry Center, Inc.Group PAC ID 2466583844, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elpis Home Health Home health agency, La Crescenta, CA, CCN 559034
• Independence Home Health, Inc Home health agency, Tujunga, CA, CCN 059271
• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: hayvazian@gfapc.adaptamed.direct-ci.com

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.

• Glendale Foot & Ankle Podiatry Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Glendale, CA
  • NPI 1710173489
  Medicare reassignment Care Compare group NPD Authorized official
• Armen Haroutiounian DC a Professional Chiropractic Corporat

  • Medical Specialty Clinic/Center
  • Burbank, CA
  • NPI 1730650367
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)
• Glendale Adventist Medical Center

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1114916293
  NPD (past)
• United Sonomed Radiology Inc.

  • Diagnostic Radiology Physician
  • Tarzana, CA
  • NPI 1033845292
  NPD (past)

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

• Dignity Community Care

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation
• Elpis Home Health

  • Home Health Agency
  • La Crescenta, CA
  • NPI 1447778873
  Care Compare affiliation
• Glendale Adventist Medical Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Independence Home Health Inc.

  • Home Health Agency
  • Tujunga, CA
  • NPI 1437311610
  Care Compare affiliation
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1760564272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S ADAMS ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051312",
            "telephone_number": "818-242-4426",
            "fax_number": "818-242-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S ADAMS ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051312",
            "telephone_number": "818-242-4426",
            "fax_number": "818-242-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYVAZIAN",
        "first_name": "HERMOZ",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E37610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E3761",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC ID",
            "identifier": "4320950001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0856782",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "200858800",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ60226Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480027586",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "954745477",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayg Home Health Inc
• Ayra Home Health Care Inc
• Akop Ayrandzhyan
• Vrezh Ayrapetyan, PH.D.
• Sareen Pateel Ayvazian-Meserkhani, DDS
• Nairi Mathewsian Ayvazian, MMFT
• Sara Ayvazian
• Anna Ayvazyan
• Christine Ayvazyan, PA
• Harutyun Vahan Ayvazyan

• Foot & Ankle Surgery Podiatrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.