Individual provider Active NPI

Talia Danialian

  • Physician Assistant
  • Encino, CA
National Provider Identifier
1811640279
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60935 Issued in CA
Practice address
15600 High Knoll Rd
Encino, CA 91436-3421
Phone
(818) 601-8972
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA
Physician Assistant 363A00000X 60935 CA Primary

Addresses

Primary practice location

15600 High Knoll Rd
Encino, CA 91436-3421

Mailing address

15600 High Knoll Rd
Encino, CA 91436-3421
Phone (818) 601-8972

Other identifiers 1

IdentifierTypeStateIssuer
60935OtherCALICENSE NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825000409 CA Practitioner - Physician Assistant 7113380049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

11126 Chandler Blvd
North Hollywood, CA 91601-3228
Phone (818) 985-0044

11560 W Pico Blvd
Los Angeles, CA 90064-1520
Phone (310) 477-8285

1300 N la Brea Ave
Los Angeles, CA 90028-7504
Phone (323) 464-1336

13303 Riverside Dr
Sherman Oaks, CA 91423-2508
Phone (818) 722-3230

14743 Ventura Blvd
Suite 100
Sherman Oaks, CA 91403-3641
Phone (818) 647-6850

18700 Ventura Blvd
Suite 220
Tarzana, CA 91356-6317
Phone (747) 307-3323

19346 Nordhoff St
Northridge, CA 91324-2415
Phone (818) 727-2040

20201 Rinaldi St
Suite 110
Northridge, CA 91326-4938
Phone (747) 444-4901

2300 Wilshire Blvd
Suite 104
Santa Monica, CA 90403-5863
Phone (424) 416-7900

23341 Mulholland Dr
Woodland Hills, CA 91364-2734
Phone (818) 637-0048

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

4121 Santa Monica Blvd
Suite 103
Los Angeles, CA 90029-2270
Phone (213) 335-7355

5717 Melrose Ave
Los Angeles, CA 90038-3807
Phone (323) 957-2273

6440 Platt Ave
West Hills, CA 91307-3216
Phone (818) 946-1103

701 N Wendy Dr
Newbury Park, CA 91320-3066
Phone (805) 375-4400

7077 Willoughby Ave
Suite 3
Los Angeles, CA 90038-2396
Phone (323) 826-5333

8000 W Sunset Blvd
Suite C110
Los Angeles, CA 90046-2439
Phone (213) 412-0400

8985 Venice Blvd
Suite a 3B
Los Angeles, CA 90034-3344
Phone (424) 502-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60935CAMDDentist

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1811640279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 HIGH KNOLL RD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363421",
            "telephone_number": "818-601-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 HIGH KNOLL RD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363421",
            "telephone_number": "818-601-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIALIAN",
        "first_name": "TALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "60935",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.