Individual provider Active NPI

Artin Gevorgian, DPM

  • Podiatrist
  • Burbank, CA
National Provider Identifier
1881708824
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4064 Issued in CA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000E40641MedicaidCA
000E40640MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060320000754 CA Practitioner - Podiatry 2961419767 Reassigns benefits to 1 organization
Practice locations: Burbank, CA
O20100930042109 CA DME Supplier - Physician - Podiatry 8325253677 Practice locations: Burbank, CA

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
Ariel Gavino MD a Medical CorporationGroup PAC ID 2365898525, 2 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue115
Removal of nail tissue1753
Removal or shaving of skin growth1070

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E4064CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ariel Gavino M.D. a Medical Corporation CurrentSince Jan 1, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.