Individual provider Active NPI

Peter H. Ashjian, MD

  • Plastic Surgery Physician
  • Glendale, CA
National Provider Identifier
1801979620
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A73735 Issued in CA
Practice address
240 S Jackson St
Glendale, CA 91205-1395
Phone
(818) 241-9611
Fax
(818) 302-1699
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A73735 CA Primary

Addresses

Primary practice location

240 S Jackson St
Glendale, CA 91205-1395

Mailing address

240 S Jackson St
Glendale, CA 91205-1395
Phone (818) 241-9611

Other practice location 1

1560 E Chevy Chase Dr
Suite 255
Glendale, CA 91206-4197
Phone (818) 241-9611

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
I20070706000390 CA Practitioner - Plastic and Reconstructive Surgery 2062512973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
New York University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 S Jackson St
Suite 109
Glendale, CA 91205-1594
Phone (818) 241-9611

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy48
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73735CAMDPlastic Surgery Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
California Breast Surgery Associates, Inc. Current Accepting new patients
Peter H Ashjian MD a Medical Corp CurrentSince Sep 16, 2009 Accepting new patients
Deanco Healthcare LLC. Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

6501 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 322-2206

6501 Truxtun Ave
#190
Bakersfield, CA 93309
Phone (661) 325-8498

2901 Sillect Ave
Ste 201
Bakersfield, CA 93308
Phone (661) 327-2101

2701 Chester Ave
Ste 103
Bakersfield, CA 93301
Phone (661) 550-0002

1505 Wilson Ter
Ste 370
Glendale, CA 91206
Phone (661) 550-0002

1125 E Broadway
Glendale, CA 91205
Phone (818) 240-8659

1158 26th St
#437
Santa Monica, CA 90403

5170 Sepulveda Blvd
Ste 210
Sherman Oaks, CA 91403
Phone (213) 537-5274

23929 McBean Pkwy
Ste 215
Valencia, CA 91355
Phone (661) 255-5350

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801979620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S JACKSON ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051395",
            "telephone_number": "818-241-9611",
            "fax_number": "818-302-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S JACKSON ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051395",
            "telephone_number": "818-241-9611",
            "fax_number": "818-302-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 E Chevy Chase Dr",
            "address_2": "Suite 255",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064197",
            "country_code": "US",
            "telephone_number": "818-241-9611",
            "fax_number": "818-302-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHJIAN",
        "first_name": "PETER",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A73735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.