Individual provider Active NPI

Nouneh O. Danielyan, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1871520726
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A63520 Issued in CA
Practice address
5220 Santa Monica Blvd
Suite 'E'
Los Angeles, CA 90029-1234
Phone
(323) 913-9300
Fax
(323) 660-9723
NPI assigned
Jun 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A63520 CA Primary

Addresses

Primary practice location

5220 Santa Monica Blvd
Suite 'E'
Los Angeles, CA 90029-1234

Mailing address

5220 Santa Monica Blvd
Suite 'E'
Los Angeles, CA 90029-1234
Phone (323) 913-9300

Other identifiers 1

IdentifierTypeStateIssuer
00A635200MedicaidCA

Other names 1

  • Nouneh Oganesi Danielyan Other name

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
I20040131000245 CA Practitioner - Internal Medicine 9537062963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael Y Karapetian MD Medical Clinic IncGroup PAC ID 3274635651, 2 clinicians

Practice addresses (Care Compare)

5220 Santa Monica Blvd
Suite E
Los Angeles, CA 90029-1234
Phone (323) 913-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as group
Quality
100
Improvement activities
40
Cost
30.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63520CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Barlow Respiratory Hospital Past Accepting new patients
Armine Sarkisian,M.D.Inc PastSince Jun 1, 2018 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871520726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 SANTA MONICA BLVD",
            "address_2": "SUITE 'E'",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291234",
            "telephone_number": "323-913-9300",
            "fax_number": "323-660-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 SANTA MONICA BLVD",
            "address_2": "SUITE 'E'",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291234",
            "telephone_number": "323-913-9300",
            "fax_number": "323-660-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELYAN",
        "first_name": "NOUNEH",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A63520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A635200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOUNEH",
            "last_name": "DANIELYAN",
            "middle_name": "OGANESI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.