Individual provider Active NPI

Aram Mkhitarian, D.O.

  • Internal Medicine Physician
  • Newbury Park, CA
National Provider Identifier
1952565301
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A12274 Issued in CA
Practice address
2904 Theresa Dr
Newbury Park, CA 91320-3137
Phone
(805) 410-4566
NPI assigned
Jul 15, 2008
Last updated
May 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101017957 MI
Internal Medicine Physician 207R00000X 20A12274 CA Primary

Addresses

Primary practice location

2904 Theresa Dr
Newbury Park, CA 91320-3137

Mailing address

2904 Theresa Dr Ste 3
Newbury Park, CA 91320-3152
Phone (805) 410-4566

Other practice location 1

5995 Topanga Canyon Blvd
Woodland Hills, CA 91367-3623
Phone (818) 888-7009

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
I20120531000524 CA Practitioner - General Practice 4789847732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
College of Osteo Med of the Pacific at Pomona, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22024 Lassen St
Suite 100
Chatsworth, CA 91311-8335
Phone (707) 240-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12274CAMDInternal Medicine Physician
5101017957MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa MLM Inc. CurrentSince May 24, 2020 Accepting new patients
Aram Mkhitarian Corp Internal Medicine CurrentSince Feb 17, 2022 Accepting new patients

Locations

22024 Lassen St
Ste 100
Chatsworth, CA 91311
Phone (707) 240-4040

2904 Theresa Dr
Ste 3
Newbury Park, CA 91320
Phone (805) 375-2778

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 5

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1952565301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 THERESA DR STE 3",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203152",
            "telephone_number": "805-410-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 THERESA DR",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203137",
            "telephone_number": "805-410-4566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5995 Topanga Canyon Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913673623",
            "country_code": "US",
            "telephone_number": "818-888-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MKHITARIAN",
        "first_name": "ARAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101017957",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A12274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

Verify at the official NPI Registry.