Individual provider Active NPI

Ayuna K Panossian, MD

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1952423014
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A86367 Issued in CA
Practice address
333 E Magnolia Blvd
#103
Burbank, CA 91502-1153
Phone
(818) 848-1555
Fax
(818) 842-9323
NPI assigned
Apr 6, 2007
Last updated
Dec 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A86367 CA Primary

Addresses

Primary practice location

333 E Magnolia Blvd
#103
Burbank, CA 91502-1153

Mailing address

333 E Magnolia Blvd
#103
Burbank, CA 91502-1153
Phone (818) 848-1555

Other identifiers 2

IdentifierTypeStateIssuer
00A863670MedicaidCA
W1515OtherEDI

Other names 1

  • Ayuna Karapogosyan Former name

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
I20070523000287 CA Practitioner - Family PracticePractitioner - Internal Medicine 0547367732 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Irvine California College of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Advanced Health Medical Group IncGroup PAC ID 5698713055, 4 clinicians
Eagle Rock Medical CenterGroup PAC ID 7810350410, 3 clinicians

Practice addresses (Care Compare)

333 E Magnolia Blvd
Suite 103
Burbank, CA 91502-1198
Phone (818) 848-1555

4867 Eagle Rock Blvd
Los Angeles, CA 90041-2649
Phone (323) 254-6754

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.47 of 100Reported as individual
Quality
76.94
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86367CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Razmik Ohanjanian MD Inc Current Accepting new patients
St. Joseph Hospitalist Medical Group, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Eagle Rock Medical Center Family Medicine CurrentSince Jul 25, 2023 Accepting new patients
Advanced Health Medical Group Inc CurrentSince Aug 1, 2016 Accepting new patients
Dignity Health Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

333 E Magnolia Blvd
Ste 103
Burbank, CA 91502
Phone (747) 283-1797

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

511 Western Ave
Glendale, CA 91201
Phone (818) 240-5588

4867 Eagle Rock Blvd
Ste 1
Los Angeles, CA 90041
Phone (323) 254-6754

7709 Foothill Blvd
Tujunga, CA 91042
Phone (818) 352-3146

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ayunapanossianmd@ah-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Highland Park Skilled Nursing & Wellness CentreLos Angeles, CA, CCN 555165 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 21, 2021
Oct 21, 2021
Verdugo Hospice Care CenterLos Angeles, CA, CCN 051772 Hospice Contracted Managing Employee May 1, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1952423014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E MAGNOLIA BLVD",
            "address_2": "#103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021153",
            "telephone_number": "818-848-1555",
            "fax_number": "818-842-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E MAGNOLIA BLVD",
            "address_2": "#103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021153",
            "telephone_number": "818-848-1555",
            "fax_number": "818-842-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOSSIAN",
        "first_name": "AYUNA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A86367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A863670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDI",
            "identifier": "W1515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYUNA",
            "last_name": "KARAPOGOSYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.