R Ajakwe MD and R Tatevossian MD a Professional Medical Corporation

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

R AJAKWE MD AND R TATEVOSSIAN MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

201 S Buena Vista St
Suite 238
Burbank, CA 91505-4569

Phone

(818) 325-2088

Fax

(818) 325-2096

NPI assigned

Jun 25, 2014

Organization subpart

No

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

Authorized official

Name

Raymond Tatevossian, M.D.NPI 1184746968

Title

Owner

Phone

(818) 325-2066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond G. Tatevossian, M.D.

  • Pain Medicine Physician
  • Burbank, CA
  • NPI 1184746968
  Medicare reassignment Care Compare group NPD Authorized official
• Ifeoluwa Jonathan Aderinto, FNP-C

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1578042214
  Medicare reassignment Care Compare group NPD
• Reginald Chinaedu Ajakwe, M.D.

  • Anesthesiology Physician
  • Burbank, CA
  • NPI 1467485730
  Medicare reassignment Care Compare group NPD
• Olivia Graza, FNP

  • Nurse Practitioner
  • Burbank, CA
  • NPI 1679348833
  Medicare reassignment Care Compare group NPD
• Myung Sung Yang

  • Pain Medicine (Anesthesiology) Physician
  • Los Angeles, CA
  • NPI 1790248938
  Medicare reassignment Care Compare group NPD
• Victoria Gleichman, PA-C

  • Physician Assistant
  • Burbank, CA
  • NPI 1770977340
  Medicare reassignment Care Compare group
• Lara Khosrovian

  • Physician Assistant
  • Pomona, CA
  • NPI 1093556334
  Medicare reassignment Care Compare group
• Tatevik Karibkhanyan, NP-C

  • Nurse Practitioner
  • Sunland, CA
  • NPI 1568174001
  Medicare reassignment NPD
• Naveed Mameghani, M.D.

  • Pain Medicine Physician
  • Costa Mesa, CA
  • NPI 1568826964
  Medicare reassignment NPD
• Cassandra Pallotto, PA-C

  • Physician Assistant
  • Palmdale, CA
  • NPI 1578952057
  Medicare reassignment

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1881009108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST",
            "address_2": "SUITE 238",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054569",
            "telephone_number": "818-325-2088",
            "fax_number": "818-325-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST",
            "address_2": "SUITE 238",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054569",
            "telephone_number": "818-325-2088",
            "fax_number": "818-325-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R AJAKWE MD AND R TATEVOSSIAN MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "TATEVOSSIAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-325-2066",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quest Home Health, Inc.
• Philippe Jean Quilici, M.D., F.A.C.S.
• Ryan Raymond Quinata
• Erika Quiroz
• R & G Home Health Care Services, Inc.
• R M Hospice Inc.
• R. Cruz Abaro DDS, Inc (Burbank Dental)
• Ra Organic Spa
• Arielle Rabby-Chia
• Steven A Rabin, MD

• Pain Medicine Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.