Individual provider Active NPI

Gayane Galustanian

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1790110831
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A126937 Issued in CA
Practice address
315 Mercy Ave Ste 301
Merced, CA 95340-8367
Phone
(209) 564-3500
NPI assigned
Sep 9, 2013
Last updated
Oct 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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 A126937 CA Primary

Addresses

Primary practice location

315 Mercy Ave Ste 301
Merced, CA 95340-8367

Mailing address

315 Mercy Ave Ste 301
Merced, CA 95340-8367
Phone (209) 564-3500

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
I20140626001160 CA Practitioner - Internal Medicine 6204051782 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

7515 Van Nuys Blvd
Van Nuys, CA 91405-1949
Phone (818) 627-3050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126937CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince May 31, 2015 Accepting new patients
Gayane Galustanian MD, Inc. Family Medicine Current Accepting new patients
County of Los Angeles CurrentSince May 31, 2015 Accepting new patients
St. Joseph Hospitalist Medical Group, Inc. CurrentSince Oct 17, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Aug 25, 2014 Accepting new patients
Merced Hospitalist Medical Group, Inc. CurrentSince Mar 30, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 25, 2014 Accepting new patients
County of Los Angeles Current Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

7515 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 627-3000

Organizations & group practices 8

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": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1790110831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MERCY AVE STE 301",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408367",
            "telephone_number": "209-564-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MERCY AVE STE 301",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408367",
            "telephone_number": "209-564-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALUSTANIAN",
        "first_name": "GAYANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A126937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.