Ani Akopyan, PA-C

Individual provider Active NPI Physician Assistant · Lafayette, CA

NPI 1881114486 · NPPES record last updated Oct 27, 2023

Key facts

NPI
1881114486
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
54580 (CA)
Practice address
3535 Brook St Apt 22
Lafayette, CA 94549-4336
Phone
(818) 624-0194
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 15

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group Inc (1,378 clinicians)

Practice addresses (Care Compare)

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444

1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100

Hospital & facility affiliations

  • Usc Verdugo Hills Hospital Hospital · Glendale, CA · CCN 050124

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180426001310 CA Practitioner - Physician Assistant 3274897335 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current
since Sep 17, 2023
Accepting new patients
Usc Care Medical Group, Inc Current
since Mar 17, 2024
Accepting new patients
Permanente Medical Group, Inc Current
since Mar 7, 2018
Accepting new patients
Usc Care Medical Group, Inc Current
since Mar 17, 2024
Accepting new patients
Permanente Medical Group Inc Current
since Mar 7, 2018
Accepting new patients
Southern California Permanente Medical Group Current
since Sep 17, 2023
Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54580 CA Yes

Addresses

Primary practice location

3535 Brook St Apt 22
Lafayette, CA 94549-4336

Mailing address

3535 Brook St Apt 22
Lafayette, CA 94549-4336

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Other providers in Lafayette, CA

All providers in Lafayette, CA · Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.