Individual provider Active NPI

Robert Ruben Kyureghian, MD

  • Anesthesiology Physician
  • Panorama City, CA
National Provider Identifier
1841450103
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A123012 Issued in CA
Practice address
14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone
(818) 787-2222
Fax
(949) 588-2199
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A123012 CA
Anesthesiology Physician 207L00000X A123012 CA Primary

Addresses

Primary practice location

14850 Roscoe Blvd
Panorama City, CA 91402-4618

Mailing address

11895 Tiara St
Valley Village, CA 91607-1340
Phone (917) 767-3951

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
I20130827000726 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5193968055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of California, Irvine, California College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dream Anesthesia a Professional Medical CorporationGroup PAC ID 0547549370, 9 clinicians

Practice addresses (Care Compare)

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222

Hospital & facility affiliations

  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert R Kyureghian, MD, a Professional Corp Anesthesiology CurrentSince Sep 5, 2015 Accepting new patients
Dream Anesthesia, a Professional Medical Corporation Anesthesiology CurrentSince Aug 1, 2016 Accepting new patients
Charchian Medical Corporation Past Accepting new patients
Apmc Medical Group Inc Anesthesiology Past Accepting new patients

Locations

265 W Olive Ave
Ste 213
Burbank, CA 91502

1030 S Glendale Ave
Ste 305
Glendale, CA 91205
Phone (818) 241-0220

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

16311 Ventura Blvd
Ste 580
Van Nuys, CA 91436
Phone (213) 245-1325

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 1

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1841450103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11895 TIARA ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071340",
            "telephone_number": "917-767-3951",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024618",
            "telephone_number": "818-787-2222",
            "fax_number": "949-588-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYUREGHIAN",
        "first_name": "ROBERT",
        "middle_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A123012",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A123012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.