Individual provider Active NPI

Tallin Martirossian Patterson

  • Geriatric Medicine (Internal Medicine) Physician
  • Burbank, CA
National Provider Identifier
1831608165
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
55145 Issued in CA
Practice address
101 S 1St St Ste 305
Burbank, CA 91502-1961
Phone
(626) 708-0496
Fax
(626) 714-2060
NPI assigned
Sep 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6978 AZ
Internal Medicine Physician 207R00000X 55145 CA
Physician Assistant 363A00000X 6978 AZ
Physician Assistant 363A00000X 55145 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 55145 CA Primary

Addresses

Primary practice location

101 S 1St St Ste 305
Burbank, CA 91502-1961

Mailing address

12272 Willowbend LN
Sylmar, CA 91342-5150
Phone (626) 708-0496

Other practice location 1

11349 Saticoy St
Sun Valley, CA 91352-4700
Phone (818) 982-5750

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20180207001841 AZ Practitioner - Physician Assistant 6800156050 Reassigns benefits to 2 organizations
I20190709002045 CA Practitioner - Physician Assistant 6800156050 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med InstituteGroup PAC ID 9537238027, 8 clinicians

Practice addresses (Care Compare)

8920 Wilshire Blvd
Suite 310
Beverly Hills, CA 90211-2003
Phone (310) 256-2426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55145CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC CurrentSince Jun 1, 2020 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Jun 1, 2020 Accepting new patients
RST Medical Inc CurrentSince Feb 23, 2025 Accepting new patients
Alex Foxman, M.D., Inc. Internal Medicine Current Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Oct 14, 2021 Accepting new patients
Anaheim Urgent Care, Inc. Family Medicine Past Accepting new patients

Locations (25 of 64)

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

4232 W Bell Rd
Glendale, AZ 85308
Phone (602) 639-4535

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

6702 W Bethany Home Rd
Ste 1315
Glendale, AZ 85303
Phone (623) 435-7000

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

3457 W White Mountain Blvd
Lakeside, AZ 85929
Phone (888) 264-2127

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

407 N Lindsay Rd
Ste 103
Mesa, AZ 85213
Phone (480) 807-0084

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

101 E State Highway 260
Ste G
Payson, AZ 85541
Phone (888) 264-2127

7611 W Cactus Rd
Peoria, AZ 85381
Phone (623) 242-0049

Interoperability endpoints

  • Direct secure messaging: tallin.martirossian@435916483002372.direct.elationemr.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1831608165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12272 WILLOWBEND LN",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913425150",
            "telephone_number": "626-708-0496",
            "fax_number": "626-714-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S 1ST ST STE 305",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021961",
            "telephone_number": "626-708-0496",
            "fax_number": "626-714-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11349 Saticoy St",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "CA",
            "postal_code": "913524700",
            "country_code": "US",
            "telephone_number": "818-982-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TALLIN",
        "middle_name": "MARTIROSSIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "6978",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "55145",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6978",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55145",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "55145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.