NPIMap

Individual provider Active NPI

Artashes Patrikyan, MD

  • Nephrology Physician
  • Glendale, CA
National Provider Identifier
1972624591
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A75827 Issued in CA
Practice address
1500 S Central Ave
Suite 300
Glendale, CA 91204-2530
Phone
(818) 242-0475
Fax
(818) 662-0260
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A75827 CA Primary

Addresses

Primary practice location

1500 S Central Ave
Suite 300
Glendale, CA 91204-2530

Mailing address

1500 S Central Ave
Suite 300
Glendale, CA 91204-2530
Phone (818) 242-0475

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
I20070731000613 CA Practitioner - NephrologyPractitioner - Internal Medicine 1658462940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Disease Medical Group IncGroup PAC ID 3173542198, 8 clinicians

Practice addresses (Care Compare)

1505 Wilson Ter
Suite 155
Glendale, CA 91206-4032
Phone (818) 500-4055

Hospital & facility affiliations

  • DaVita Hollywood Dialysis Center Dialysis facility, Los Angeles, CA, CCN 052801
  • Home Dialysis Centers of Rancho Cucamonga Dialysis facility, Rancho Cucamonga, CA, CCN 552675
  • DaVita Glendale Heights Dialysis facility, Glendale, CA, CCN 552885
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
  • Hollywood Presbyterian Medical Center Inpatient rehabilitation facility, Los Angeles, CA, CCN 05T063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75827CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Disease Medical Group Inc CurrentSince Feb 11, 2015 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1505 Wilson Ter
Ste 155
Glendale, CA 91206
Phone (818) 500-4055

1500 S Central Ave
Ste 300
Glendale, CA 91204
Phone (818) 242-0475

1500 S Central Ave
Ste 221
Glendale, CA 91204
Phone (818) 242-0475

4835 Van Nuys Blvd
Ste 111
Van Nuys, CA 91403
Phone (818) 617-9840

1540 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 337-8007

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: artashes.patrikyan.1@15679.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15679/brand/1/csg/1/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 9

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1972624591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "818-242-0475",
            "fax_number": "818-662-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "818-242-0475",
            "fax_number": "818-662-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRIKYAN",
        "first_name": "ARTASHES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A75827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.