Active NPI
Artin Gevorgian, DPM
- Podiatrist
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4064
- Practice address
- 2625 W Alameda Ave Ste 314
Burbank, CA 91505-4822 - Phone
- (818) 841-8400
- Fax
- (818) 841-8402
- NPI assigned
- Aug 18, 2006
- Last updated
- Aug 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E4064 | CA | Primary |
Addresses
Primary practice location
2625 W Alameda Ave Ste 314
Burbank, CA 91505-4822
Mailing address
2625 W Alameda Ave Ste 314
Burbank, CA 91505-4822
Phone (818) 841-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E40641 | Medicaid | CA | |
| 000E40640 | Medicaid | CA |
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: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6440 Bellingham Ave
Suite 2
N Hollywood, CA 91606-1402
Phone (818) 860-4330
8065 Webb Ave
Suite a
N Hollywood, CA 91605-1505
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 115 |
| Removal of nail tissue | 1753 |
| Removal or shaving of skin growth | 1070 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4064 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ariel Gavino M.D. a Medical Corporation | Current | Accepting new patients | |
| Western Podmed Clinic Inc | Past | Accepting new patients |
Locations
6440 Bellingham Ave
Ste 2
North Hollywood, CA 91606
Phone (626) 593-8131
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/14402/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Geriatric Medicine (Family Medicine) Physician
- North Hollywood, CA
- NPI 1164200739
-
- Foot & Ankle Surgery Podiatrist
- Burbank, CA
- NPI 1063659704
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Saint Joseph Medical Center
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1881708824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 W ALAMEDA AVE STE 314",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054822",
"telephone_number": "818-841-8400",
"fax_number": "818-841-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 W ALAMEDA AVE STE 314",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054822",
"telephone_number": "818-841-8400",
"fax_number": "818-841-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEVORGIAN",
"first_name": "ARTIN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E40641",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E40640",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.