Krekor Tomassian, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A40035 Issued in CA

Practice address

415 W Route 66
#201
Glendora, CA 91740

Phone

(626) 963-0900

Fax

(626) 963-9663

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Geriatric Medicine

Education

Other, 1976

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Golden Years Home Health, Inc. Home health agency, San Dimas, CA, CCN 059592
• American Eagle Home Health Care, Inc. Home health agency, Pasadena, CA, CCN 753169
• Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (1 of 2)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: krekor.tomassian.p36@direct.healthcarepartners.nextgenshare.com

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.

• Krekor a Tomassian MD a Prof Corp

  • Geriatric Medicine (Family Medicine) Physician
  • Glendora, CA
  • NPI 1700109519

  CA

  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• American Eagle Home Health Care, Inc.

  • Home Health Agency
  • Pasadena, CA
  • NPI 1720667835
  Care Compare affiliation
• Emanate Health Foothill Presbyterian Hospital

  • General Acute Care Hospital
  • Glendora, CA
  • NPI 1992733513

  Hospital

  Care Compare affiliation
• Golden Years Home Health, Inc.

  • Home Health Agency
  • Arcadia, CA
  • NPI 1154515039
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891807673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W ROUTE 66",
            "address_2": "#201",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-963-0900",
            "fax_number": "626-963-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W ROUTE 66",
            "address_2": "#201",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-963-0900",
            "fax_number": "626-963-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASSIAN",
        "first_name": "KREKOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A400351",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thrivewell Occupational Therapy, Inc.
• Theresa Clement Tisdale, PH.D.
• TMM Home Care
• Bianca Alice Tomassian
• Christopher Tomassian, MD
• Shant Tomassian, MD
• Amparo Torres Kelly
• Jason Torres
• Nathaniel Blakely Townsend
• Regina Carol Trammel, LCSW

• All providers in Glendora, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.