Individual provider Active NPI

Janna Oganessian, M.D.

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1801820832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A79854 Issued in CA
Practice address
18607 Ventura Blvd
# 101
Tarzana, CA 91356-4159
Phone
(818) 758-8282
Fax
(818) 758-8286
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

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
Internal Medicine Physician 207R00000X A79854 CA Primary

Addresses

Primary practice location

18607 Ventura Blvd
# 101
Tarzana, CA 91356-4159

Mailing address

1325 E Windsor Rd
# 4
Glendale, CA 91205-2677
Phone (818) 425-9947

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
I20080523000145 CA Practitioner - Internal Medicine 3072682525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13739 Riverside Dr
Suite B
Sherman Oaks, CA 91423-2417
Phone (818) 385-0001

13739 Riverside Dr B
Sherman Oaks, CA 91423-2417

Hospital & facility affiliations

  • Planet Home Health Care, Inc Home health agency, Glendale, CA, CCN 059231
  • Hillside Home Health, Inc Home health agency, Woodland Hills, CA, CCN 757376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J O Medical Professional Corporation Internal Medicine CurrentSince Apr 14, 2008 Accepting new patients

Locations

13739 Riverside Dr
Ste B
Sherman Oaks, CA 91423
Phone (818) 292-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801820832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E WINDSOR RD",
            "address_2": "# 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052677",
            "telephone_number": "818-425-9947",
            "fax_number": "818-758-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD",
            "address_2": "# 101",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564159",
            "telephone_number": "818-758-8282",
            "fax_number": "818-758-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGANESSIAN",
        "first_name": "JANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.