Individual provider Active NPI

Liana Poghosyan

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1952560732
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101825 Issued in CA
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

Updated by the provider on Nov 1, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000384 CA Practitioner - Family Practice 5395804249 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
101825CAMDGeneral Practice Dentistry
A101825CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Sep 1, 2012 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Family Medicine CurrentSince Aug 8, 2011 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

  • Direct secure messaging: liana.poghosyan.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: liana.poghosyan.p1@direct.afh.nextgenshare.com
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.