Individual provider Active NPI

Movses Hayrabedian, MD

  • Pulmonary Disease Physician
  • Oxnard, CA
National Provider Identifier
1801265046
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A178032 Issued in CA
Practice address
1910 Outlet Center Dr
Oxnard, CA 93036-0677
Phone
(805) 485-2400
Fax
(805) 485-3025
NPI assigned
Sep 17, 2015
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10053893 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A178032 CA
Pulmonary Disease Physician 207RP1001X A178032 CA Primary

Addresses

Primary practice location

1910 Outlet Center Dr
Oxnard, CA 93036-0677

Mailing address

1910 Outlet Center Dr
Oxnard, CA 93036-0677
Phone (805) 485-2400

Other practice location 1

St. John's Camarillo Hospital - 2309 Antonio Ave
Camarillo, CA 93010
Phone (000) 000-0000

Other practice location 2

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Other practice location 3

4000 Calle Tecate Ste 105
Camarillo, CA 93012-5283
Phone (805) 485-2400

Other practice location 4

St. John's Regional Medical Center - 1600 N Rose Ave
Oxnard, CA 93036
Phone (000) 000-0000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180711002036 TX Practitioner - Internal Medicine 9133428014 Reassigns benefits to 1 organization
I20220728000840 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9133428014 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Willow Brook Critical Care Medical Group IncGroup PAC ID 3476975319, 16 clinicians
Vista Critical Care Associates IncGroup PAC ID 8729479225, 15 clinicians

Practice addresses (Care Compare)

13652 Cantara St
Panorama City, CA 91402-5423
Phone (818) 375-2000

1420 S Central Ave
Glendale, CA 91204-2508
Phone (877) 828-0736

1511 W Glenoaks Blvd
Glendale, CA 91201-1912
Phone (818) 637-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10053893TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Jul 2, 2018 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 2, 2025 Accepting new patients
West Coast Pulmonary Physicians a Professional Medical Corporation Pulmonary Disease CurrentSince Sep 16, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 2, 2018 Accepting new patients
Southern California Pulmonary & Critical Care Associates Inc. CurrentSince Mar 22, 2024 Accepting new patients
West Coast Critical Care Specialists, Inc. Critical Care Medicine CurrentSince Sep 16, 2022 Accepting new patients
Vista Critical Care Associates Inc Internal Medicine CurrentSince Mar 22, 2024 Accepting new patients

Locations

4000 Calle Tecate
Ste 105
Camarillo, CA 93012
Phone (805) 302-3514

4000 Calle Tecate
Ste 115
Camarillo, CA 93012
Phone (805) 485-2400

1511 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 482-0016

1560 E Chevy Chase Dr
Ste 355
Glendale, CA 91206
Phone (747) 212-3441

1910 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 485-2400

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: movses.hayrabedian.p23@direct.wcp.nextgenshare.com

Organizations & group practices 9

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 3

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1801265046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OUTLET CENTER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360677",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OUTLET CENTER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360677",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "St. John's Camarillo Hospital - 2309 Antonio Ave",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "93010",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Calle Tecate Ste 105",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930125283",
            "country_code": "US",
            "telephone_number": "805-485-2400",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St. John's Regional Medical Center - 1600 N Rose Ave",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "93036",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "fax_number": "805-485-3025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYRABEDIAN",
        "first_name": "MOVSES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-17",
        "last_updated": "2024-10-28",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10053893",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A178032",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A178032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.