Individual provider Active NPI

Lilit Yegiazaryan, M.D.

  • Psychiatry Physician
  • Glendale, CA
National Provider Identifier
1770668345
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A77081 Issued in CA
Practice address
138 N Brand Blvd Ste 303
Glendale, CA 91203-4621
Phone
(818) 500-9708
Fax
(818) 500-9709
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A77081 CA Primary

Addresses

Primary practice location

138 N Brand Blvd Ste 303
Glendale, CA 91203-4621

Mailing address

138 N Brand Blvd Ste 303
Glendale, CA 91203-4621
Phone (818) 500-9708

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
I20040109001109 CA Practitioner - Psychiatry 3072413632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10605 Balboa Blvd
Suite 100
Granada Hills, CA 91344-6367
Phone (818) 832-2410

5437 Laurel Canyon Blvd
Suite 107
Valley Village, CA 91607-4615
Phone (747) 204-8884

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77081CAMDPsychiatry Physician
77081CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Laurel Grove Medical Center Inc CurrentSince May 12, 2024 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jun 21, 2011 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jun 21, 2011 Accepting new patients
Unlimited Hospice Services Inc PastSince Jan 1, 2025 Accepting new patients
Holy Medical Center, Inc. Past Accepting new patients
JK Healthcare Management Inc Past Accepting new patients

Locations

10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

6260 Laurel Canyon Blvd
Ste 103
North Hollywood, CA 91606
Phone (747) 204-8884

10605 Balboa Blvd
Ste 100
San Fernando, CA 91344
Phone (818) 832-2400

5437 Laurel Canyon Blvd
Ste 107
Valley Village, CA 91607
Phone (747) 204-8884

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unlimited Hospice Services IncPanorama City, CA, CCN D61519 Hospice W-2 Managing Employee Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770668345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 N BRAND BLVD STE 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034621",
            "telephone_number": "818-500-9708",
            "fax_number": "818-500-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 N BRAND BLVD STE 303",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034621",
            "telephone_number": "818-500-9708",
            "fax_number": "818-500-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGIAZARYAN",
        "first_name": "LILIT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A77081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.