Avalon Wound Care Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

AVALON WOUND CARE INC

Practice address

4001 W Alameda Ave Ste 100
Burbank, CA 91505-4338

Phone

(818) 588-3300

NPI assigned

Mar 28, 2024

Last updated

Mar 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tatevik Gevorgyan

Title

Ceo

Phone

(818) 588-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mardiros H Mihranian, M.D.

  • Surgery Physician
  • Glendale, CA
  • NPI 1093997330
  Medicare reassignment NPD
• Karapet Mirakyan

  • Family Nurse Practitioner
  • North Hills, CA
  • NPI 1194318014
  Medicare reassignment NPD
• Jaylene Thien Nguyen, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1720542665

  Single Specialty

  Medicare reassignment NPD
• Nancy Callaham, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1386052371
  Medicare reassignment
• Jose Manuel Cortes Jr.

  • Physician Assistant
  • Upland, CA
  • NPI 1588371058
  Medicare reassignment

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1972354959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W ALAMEDA AVE STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054338",
            "telephone_number": "818-588-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W ALAMEDA AVE STE 100",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054338",
            "telephone_number": "818-588-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "TATEVIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-588-3300"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autism Spectrum Therapies, LLC
• Rita Avakian
• Artur Avakyan
• Avalin Health Medical Corporation
• Avalon Home Health Care
• Jose Angel Avalos, FNP
• Anasheh Avanes, FNP-C
• Edward Avanessians
• Feliks Avanesyan, MD
• Tadeh Avedian Sangebarani, DMD

• Health Service Clinic/Center in Burbank, CA
• Providers in Burbank, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.