Individual provider Active NPI

Richard Hratchia Havunjian, M.D.

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1851475594
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G63659 Issued in CA
Practice address
1510 S Central Ave Ste 530
Glendale, CA 91204-2542
Phone
(818) 548-5858
Fax
(818) 500-8355
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G63659 CA Primary

Addresses

Primary practice location

1510 S Central Ave Ste 530
Glendale, CA 91204-2542

Mailing address

1510 S Central Ave Ste 530
Glendale, CA 91204-2542
Phone (818) 548-5858

Other identifiers 1

IdentifierTypeStateIssuer
GR0089220MedicaidCA

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
I20100823000780 CA Practitioner - Ophthalmology 2961435268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard H Havunjian MD a Professional CorporationGroup PAC ID 2567491079, 2 clinicians

Practice addresses (Care Compare)

1510 S Central Ave
Suite 530
Glendale, CA 91204-2542
Phone (818) 548-5858

Merit-based Incentive Payment System (MIPS)

Final score
92.05 of 100Reported as group
Quality
80.75
Improvement activities
40
Cost
73.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G63459CAMDInternal Medicine Physician
G63659CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard H Havunjian MD a Professional Corporation Ophthalmology CurrentSince Aug 1, 2000 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1310 S Central Ave
Glendale, CA 91204
Phone (818) 579-2366

1510 S Central Ave
Ste 530
Glendale, CA 91204
Phone (818) 244-4374

Organizations & group practices 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1851475594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 530",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042542",
            "telephone_number": "818-548-5858",
            "fax_number": "818-500-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 530",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042542",
            "telephone_number": "818-548-5858",
            "fax_number": "818-500-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVUNJIAN",
        "first_name": "RICHARD",
        "middle_name": "HRATCHIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G63659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.