Individual provider Active NPI

Hooman Hormozian, M.D.

  • Child & Adolescent Psychiatry Physician
  • Mission Hills, CA
National Provider Identifier
1891967030
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A120767 Issued in CA
Practice address
10200 Sepulveda Blvd
Ste. 300
Mission Hills, CA 91345-2649
Phone
(818) 830-1008
Fax
(818) 895-3214
NPI assigned
Mar 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A120767 CA
Child & Adolescent Psychiatry Physician 2084P0804X A120767 CA Primary

Addresses

Primary practice location

10200 Sepulveda Blvd
Ste. 300
Mission Hills, CA 91345-2649

Mailing address

10200 Sepulveda Blvd
Ste. 300 B
Mission Hills, CA 91345-2649
Phone (818) 830-1008

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130816000607 CA Practitioner - Psychiatry 2264674498 Reassigns benefits to 1 organization
Practice locations: Northridge, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17075 Devonshire St
Suite 204
Northridge, CA 91325-5408
Phone (818) 724-9294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A120767CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Mission City Community Network, Inc. CurrentSince Jul 1, 2013 Accepting new patients

Locations

10200 Sepulveda Blvd
Ste 300
Mission Hills, CA 91345
Phone (818) 830-1441

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602

15206 Parthenia St
Sepulveda, CA 91343

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1891967030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 SEPULVEDA BLVD",
            "address_2": "STE. 300 B",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452649",
            "telephone_number": "818-830-1008",
            "fax_number": "818-895-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 SEPULVEDA BLVD",
            "address_2": "STE. 300",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452649",
            "telephone_number": "818-830-1008",
            "fax_number": "818-895-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORMOZIAN",
        "first_name": "HOOMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A120767",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A120767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.