Individual provider Active NPI

Marineh Baghoumian, O.D.

  • Optometrist
  • Glendale, CA
National Provider Identifier
1972929438
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14842 Issued in CA
Practice address
435 Arden Ave Ste 430
Glendale, CA 91203-4022
Phone
(818) 539-8016
NPI assigned
Mar 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14842 CA Primary

Addresses

Primary practice location

435 Arden Ave Ste 430
Glendale, CA 91203-4022

Mailing address

20700 Avalon Blvd
Carson, CA 90746-3701
Phone (310) 532-2622

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140625001021 CA Practitioner - Optometry 5294950796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Community Health Centers IncGroup PAC ID 9638082456, 47 clinicians

Practice addresses (Care Compare)

8316 Foothill Blvd
Sunland, CA 91040-2850
Phone (818) 273-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Community Health Centers, Inc CurrentSince Jun 26, 2023 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Apr 2, 2018 Accepting new patients
Comprehensive Community Health Centers Inc Current Accepting new patients
Trilogy Eye Medical Group Inc Optometrist CurrentSince Jul 2, 2017 Accepting new patients
Alina Ho OD a Professional Corp Optometrist PastSince Feb 12, 2014 Accepting new patients

Locations

301 W Huntington Dr
Arcadia, CA 91007
Phone (626) 218-9840

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

435 Arden Ave
Ste 430435
Glendale, CA 91203
Phone (818) 539-8016

435 Arden Ave
Ste 430
Glendale, CA 91203
Phone (818) 500-4040

801 S Chevy Chase Dr
Ste 250
Glendale, CA 91205
Phone (818) 265-2259

44815 Fig Ave
Lancaster, CA 93534
Phone (661) 206-8469

1704 Colorado Blvd
Los Angeles, CA 90041
Phone (323) 256-4116

73271 Fred Waring Dr
Ste 101
Palm Desert, CA 92260
Phone (213) 234-1000

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

207 S Santa Anita St
Ste P25
San Gabriel, CA 91776
Phone (626) 200-1277

8316 Foothill Blvd
Sunland, CA 91040
Phone (818) 273-8800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1972929438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463701",
            "telephone_number": "310-532-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 430",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034022",
            "telephone_number": "818-539-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHOUMIAN",
        "first_name": "MARINEH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.