Manuk Mike Chulyan, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA21380 Issued in CA

Practice address

1030 S Glendale Ave
Suite 404
Glendale, CA 91205-5612

Phone

(818) 240-9911

Fax

(818) 240-9939

NPI assigned

May 10, 2011

Last updated

Jul 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: manuk.chulyan.1@27469.direct.athenahealth.com

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.

• Edgemont Medical Clinic

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1588078166
  Medicare reassignment Authorized official
• Holy Cross Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Los Angeles, CA
  • NPI 1750894879
  Medicare reassignment Authorized official
• Dignity Health

  dba Mercy Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1881986826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 N ALEXANDRIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291404",
            "telephone_number": "323-370-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE",
            "address_2": "SUITE 404",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055612",
            "telephone_number": "818-240-9911",
            "fax_number": "818-240-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHULYAN",
        "first_name": "MANUK",
        "middle_name": "MIKE",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Anthony MD Inc
• Ani Chtryan, FNP
• Elaine Yeeling Chu, MD
• Elizabeth Chulack, PSYD
• Marie Chuldzhyan, MA, MS
• Michael Chun
• Daniel T. Chung, D.D.S.
• Elianne Chung, SLP
• Esther Chung, O.D.
• Hyun Soo Chung, L.AC.

• Medical Physician Assistant in Glendale, CA
• Providers in Glendale, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.

Verify at the official NPI Registry.