Individual provider Active NPI

Mark Boyajian, MD

  • Anesthesiology Physician
  • Encino, CA
National Provider Identifier
1841619244
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A117511 Issued in CA
Practice address
16237 Ventura Blvd
Encino, CA 91436-2201
Phone
(818) 854-2299
NPI assigned
Apr 14, 2014
Last updated
Jun 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A117511 CA Primary

Addresses

Primary practice location

16237 Ventura Blvd
Encino, CA 91436-2201

Mailing address

4825 Newcastle Ave
Encino, CA 91316-4245
Phone (818) 854-2299

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
I20141203002363 CA Practitioner - Anesthesiology 6608198593 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Hills Anesthesia and Perioperative PhysiciansGroup PAC ID 7719280007, 20 clinicians

Practice addresses (Care Compare)

2230 Lynn Rd
Suite 320
Thousand Oaks, CA 91360-1973
Phone (805) 371-8400

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117511CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Equity Anesthesia Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Conejo Los Robles Anesthesiology Medical Group, Inc. Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
West Hills Anesthesia and Perioperative Physicians Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients

Locations

150 N Robertson Blvd
Ste 110
Beverly Hills, CA 90211
Phone (310) 424-9507

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

18133 Ventura Blvd
Ste 400
Tarzana, CA 91356
Phone (818) 462-0280

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

Interoperability endpoints

  • Direct secure messaging: mboyajian1293752@direct.uclahealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1841619244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 NEWCASTLE AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164245",
            "telephone_number": "818-854-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16237 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362201",
            "telephone_number": "818-854-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYAJIAN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A117511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.