Active NPI
Peter H. Ashjian, MD
- Plastic Surgery Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A73735
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Adventist Health Bakersfield
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 48 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73735 | CA | MD | Plastic Surgery Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Breast Surgery Associates, Inc. | Current | Accepting new patients | |
| Peter H Ashjian MD a Medical Corp | Current | 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.
-
- Surgery of the Hand (Plastic Surgery) Physician
- Glendale, CA
- NPI 1750618237
CA
-
- Plastic and Reconstructive Surgery Physician
- Glendale, CA
- NPI 1336954379
-
- Psychiatric Hospital Unit
- Panorama City, CA
- NPI 1013061597
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.