Organization Active NPI

Mireille Partamian Hamparian MD, Inc.

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1912187113
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A75480 Issued in CA
Legal business name
MIREILLE PARTAMIAN HAMPARIAN MD, INC.
Practice address
1451 E Chevy Chase Dr
#100
Glendale, CA 91206-4056
Phone
(818) 409-1777
NPI assigned
Nov 6, 2007
Last updated
Dec 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Dr. Mireille Partamian Hamparian, M.D.NPI 1710969506
Title
President
Phone
(818) 409-1777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A75480 CA Primary

Addresses

Primary practice location

1451 E Chevy Chase Dr
#100
Glendale, CA 91206-4056

Mailing address

1451 E Chevy Chase Dr
#100
Glendale, CA 91206-4056
Phone (818) 409-1777

Other identifiers 1

IdentifierTypeStateIssuer
00A754800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040621001724 CA Part B Supplier - Clinic/Group Practice 4183609472 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA
O20170119000545 CA DME Supplier - Physician - Ophthalmology 4183609472 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

16542 Ventura Blvd
Ste 115
Encino, CA 91436
Phone (818) 399-1564

1451 E Chevy Chase Dr
Ste 100
Glendale, CA 91206
Phone (818) 409-1777

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1912187113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 E CHEVY CHASE DR",
            "address_2": "#100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064056",
            "telephone_number": "818-409-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 E CHEVY CHASE DR",
            "address_2": "#100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064056",
            "telephone_number": "818-409-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIREILLE PARTAMIAN HAMPARIAN MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "HAMPARIAN",
        "authorized_official_first_name": "MIREILLE",
        "authorized_official_middle_name": "PARTAMIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-409-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A75480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A754800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.