Active NPI
Liana Poghosyan
- Family Medicine Physician
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A101825
- Practice address
- 401 S Glenoaks Blvd Ste 101
Burbank, CA 91502-2707 - Phone
- (818) 748-1740
- Fax
- (818) 748-1741
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A101825 | CA | Primary |
Addresses
Primary practice location
401 S Glenoaks Blvd Ste 101
Burbank, CA 91502-2707
Mailing address
519 E Broadway
Glendale, CA 91205-1110
Phone (818) 409-3020
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 S Glenoaks Blvd
Suite 101
Burbank, CA 91502-2707
Phone (818) 748-1740
5160 Vineland Ave
Suite 109
North Hollywood, CA 91601-3888
Phone (818) 738-7774
519 E Broadway
Glendale, CA 91205-1110
Phone (818) 409-3020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101825 | CA | MD | General Practice Dentistry |
| A101825 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Health Health for All Inc | Current | Accepting new patients | |
| Lakeside Medical Organization, a Medical Group Inc. | Family Medicine | Current | Accepting new patients |
| All for Health Health for All Inc | Current | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
303 S Glenoaks Blvd
Ste 9
Burbank, CA 91502
Phone (818) 748-8734
2031 W Alameda Ave
Ste 330
Burbank, CA 91506
Phone (818) 845-8100
401 S Glenoaks Blvd
Ste 101
Burbank, CA 91502
Phone (818) 748-1740
801 S Chevy Chase Dr
Ste 250
Glendale, CA 91205
Phone (818) 265-2259
1500 S Central Ave
Ste 200
Glendale, CA 91204
Phone (818) 242-8916
519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020
25500 Rancho Niguel Rd
Ste 250
Laguna Niguel, CA 92677
Phone (818) 409-3020
8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- liana.poghosyan.p1@direct.lakeside.nextgenshare.com
- liana.poghosyan.p1@direct.afh.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Glendale, CA
- NPI 1568567220
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
- NPI 1023799285
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1952560732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 E BROADWAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051110",
"telephone_number": "818-409-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S GLENOAKS BLVD STE 101",
"city": "BURBANK",
"state": "CA",
"postal_code": "915022707",
"telephone_number": "818-748-1740",
"fax_number": "818-748-1741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGHOSYAN",
"first_name": "LIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A101825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.