Individual provider Active NPI

Adrineh Pkhrikyan, PA-C

  • Medical Physician Assistant
  • Reseda, CA
National Provider Identifier
1770273666
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
7640 Tampa Ave
Suite 101
Reseda, CA 91335
Phone
(818) 718-1600
NPI assigned
May 12, 2023
Reactivated
Sep 27, 2023
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X CA Primary

Addresses

Primary practice location

7640 Tampa Ave
Suite 101
Reseda, CA 91335

Mailing address

7640 Tampa Ave
Suite 101
Reseda, CA 91335
Phone (818) 718-1600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231020001850 CA Practitioner - Physician Assistant 7012363427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Cardiology Medical Group, IncGroup PAC ID 7214994482, 6 clinicians

Practice addresses (Care Compare)

7301 Medical Ctr Dr
Suite 201
West Hills, CA 91307-1935
Phone (818) 702-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
82.32
Improvement activities
40
Cost
35.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63376CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Noninvasive Medical Imaging Incorporated CurrentSince Oct 1, 2023 Accepting new patients
Interventional Cardiology Medical Group, Inc CurrentSince Feb 16, 2026 Accepting new patients

Locations

7640 Tampa Ave
Ste 101
Reseda, CA 91335
Phone (818) 718-1600

227 W Janss Rd
Ste 360
Thousand Oaks, CA 91360
Phone (805) 497-3535

7301 Medical Ctr
Ste 201
West Hills, CA 91307
Phone (818) 346-9911

Interoperability endpoints

  • Direct secure messaging: adrineh.pkhrikyan.1@25159.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1770273666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 TAMPA AVE",
            "address_2": "SUITE 101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-718-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 TAMPA AVE",
            "address_2": "SUITE 101",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-718-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PKHRIKYAN",
        "first_name": "ADRINEH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-09-27",
        "certification_date": "2023-04-24",
        "deactivation_date": "2023-09-12",
        "reactivation_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.