Active NPI
Frederick A Boghossian, M.D.
- Gastroenterology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A648780
- Practice address
- 1560 E Chevy Chase Dr
Suite # 320
Glendale, CA 91206-4197 - Phone
- (818) 241-0300
- Fax
- (818) 241-0333
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A648780 | CA | Primary |
Addresses
Primary practice location
1560 E Chevy Chase Dr
Suite # 320
Glendale, CA 91206-4197
Mailing address
1560 E Chevy Chase Dr
Suite # 320
Glendale, CA 91206-4197
Phone (818) 241-0300
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
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1560 E Chevy Chase Dr
Suite 320
Glendale, CA 91206-4140
Phone (818) 241-0300
Hospital & facility affiliations
- Glendale Adventist Medical Center
- Usc Verdugo Hills Hospital
- Glendale Mem Hospital & HLTH Center
- Keck Hospital of Usc
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 839 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 708 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A648780 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick a Boghossian MD Inc | Gastroenterology | Current | Accepting new patients |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Cha Hollywood Medical Center, LP | Past | Accepting new patients | |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients |
Locations
1560 E Chevy Chase Dr
Ste 320
Glendale, CA 91206
Phone (818) 241-0300
1560 E Chevy Chase Dr
Ste 32
Glendale, CA 91206
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- frederickboghossian@fbmd.allscriptsdirect.net
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.
-
- Gastroenterology Physician
- Glendale, CA
- NPI 1154517225
-
dba Hollywood Presbyterian Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
dba Adventist Health Glendale
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
dba Verdugo Hills Hospital
- General Acute Care Hospital
- Glendale, CA
- NPI 1265875207
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Glendale Memorial Hospital and Health Center
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
-
dba Adventist Health Glendale
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
dba Keck Hospital of USC
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1013514199
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1033716147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1841303849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E CHEVY CHASE DR",
"address_2": "SUITE # 320",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064197",
"telephone_number": "818-241-0300",
"fax_number": "818-241-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 E CHEVY CHASE DR",
"address_2": "SUITE # 320",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064197",
"telephone_number": "818-241-0300",
"fax_number": "818-241-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGHOSSIAN",
"first_name": "FREDERICK",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A648780",
"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 Jan 17, 2024; 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.