NPIMap

Individual provider Active NPI

Beatris Ther Hacopian, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1952460552
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A87840 Issued in CA
Practice address
4760 W Sunset Blvd
Los Angeles, CA 90027-6063
Phone
(323) 783-4011
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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 A87840 CA Primary

Addresses

Primary practice location

4760 W Sunset Blvd
Los Angeles, CA 90027-6063

Mailing address

393 E Walnut St
3Rd Floor PHR Systems
Pasadena, CA 91188-0001
Phone (626) 405-3640

Other identifiers 1

IdentifierTypeStateIssuer
00A878400MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000736 CA Practitioner - Family Practice 8729026174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

2750 Sycamore Dr
Simi Valley, CA 93065-1500

544 N Glendale Ave
Glendale, CA 91206-3311
Phone (818) 265-2242

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87840CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Mar 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 19, 2011 Accepting new patients
Adventist Health Physicians Network Family Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Mar 19, 2011 Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 1, 2024 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Family Medicine Past Accepting new patients
Adventist Health Physicians Network Family Medicine Past Accepting new patients
Crown City Medical Group, Inc. Family Medicine Past Accepting new patients
Altamed Health Services Corporation Past Accepting new patients
Adventist Health Physicians Network Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

544 N Glendale Ave
Ste C
Glendale, CA 91206

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097

601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: beatristherhacopian@hcpca.allscriptsdirect.net
  • Direct secure messaging: beatris.therhacopian.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 10

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 2

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1952460552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 E WALNUT ST",
            "address_2": "3RD FLOOR PHR SYSTEMS",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911880001",
            "telephone_number": "626-405-3640",
            "fax_number": "626-405-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276063",
            "telephone_number": "323-783-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THER HACOPIAN",
        "first_name": "BEATRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A878400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.