Individual provider Active NPI

Edwin Baktanian, M.D.

  • Anesthesiology Physician
  • Glendale, CA
National Provider Identifier
1922074350
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A85580 Issued in CA
Practice address
1030 S Glendale Ave
Suite 505
Glendale, CA 91205-5612
Phone
(818) 653-1970
NPI assigned
Feb 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A85580 CA Primary

Addresses

Primary practice location

1030 S Glendale Ave
Suite 505
Glendale, CA 91205-5612

Mailing address

PO Box 9240
Glendale, CA 91226-0240
Phone (818) 653-1970

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
I20050429000732 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 9133168057 Reassigns benefits to 3 organizations
Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Memorial Medical CenterGroup PAC ID 4486622362, 68 clinicians

Practice addresses (Care Compare)

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone 323268500034066

Hospital & facility affiliations

  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
69.82
Promoting interoperability
95
Improvement activities
40
Cost
67.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85580CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Adventist Medical Center CurrentSince Jan 20, 2025 Accepting new patients
La Quality Care Anesthesia Consultants Inc Anesthesiology CurrentSince Sep 11, 2017 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jan 20, 2025 Accepting new patients

Locations

801 S Chevy Chase Dr
Ste 106
Glendale, CA 91205
Phone (818) 265-2275

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

5700 San Fernando Rd
Glendale, CA 91202
Phone (818) 637-7766

1500 E Chevy Chase Dr
Ste 101
Glendale, CA 91206
Phone (818) 265-1581

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

Organizations & group practices 4

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.

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": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1922074350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9240",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912260240",
            "telephone_number": "818-653-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE",
            "address_2": "SUITE 505",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055612",
            "telephone_number": "818-653-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKTANIAN",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-25",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A85580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.