Artur Alaverdyan, M.D.
Individual provider Active NPI Internal Medicine Physician · Mission Hills, CA
NPI 1982135208 · NPPES record last updated Sep 9, 2020
Key facts
- NPI
- 1982135208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A166071 (CA)
- Practice address
- 11333 N Sepulveda Blvd
Mission Hills, CA 91345-1116 - Phone
- (877) 634-3196
- NPI assigned
- Mar 27, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Facey Medical Foundation
Practice addresses (Care Compare)
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone (818) 365-9531
Hospital & facility affiliations
- Providence Holy Cross Medical Center
- Henry Mayo Newhall Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200728000416 | CA | Practitioner - Internal Medicine | 7416371133 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A166071 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Current |
Accepting new patients | |
| Providence Facey Medical Foundation | Family Medicine | Current |
Accepting new patients |
Locations
File 50670
Los Angeles, CA 90074
11333 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 365-9531
15451 San Fernando Mission Blvd
Mission Hills, CA 91345
Phone (818) 837-5554
18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
Interoperability endpoints
- aalaverdyan1237358@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A166071 | CA | Yes |
Addresses
Primary practice location
11333 N Sepulveda Blvd
Mission Hills, CA 91345-1116
Mailing address
PO Box 9602
Mission Hills, CA 91346-9602
Phone (818) 837-5559
Other providers in Mission Hills, CA
- Advanced Cardiovascular Interpretations Medical Group
- Advanced Vida Care
- Agape Healthcare Inc.
- Agile Occupational Medicine, PC
- Ajit Deol MD Inc
- Laura Alcaraz Pelayo
- Anabel Alcaraz Vargas
- Ana Elena Aldana
- Marlyn Mendoza Alejandro
- Faraz Ali
All providers in Mission Hills, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.