Ava Hacopian, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

11784 Issued in CA

Practice address

1620 Graeber Street , Suite 9
163Rd MDG March Air Reserve Base/
Moreno Valley, CA 92518

Phone

(916) 854-3000

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• County of Tulare

  • Community/Behavioral Health Agency
  • Porterville, CA
  • NPI 1518418581
  NPD (past)
• Emergency Medical Services Group

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1336162726
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1992759369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 GRAEBER STREET , SUITE 9",
            "address_2": "163RD MDG MARCH AIR RESERVE BASE/",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92518",
            "telephone_number": "916-854-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GRAEBER STREET , SUITE 9",
            "address_2": "163RD MDG MARCH AIR RESERVE BASE/",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92518",
            "telephone_number": "916-854-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACOPIAN",
        "first_name": "AVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "11784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A632960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Anh Thu Ha, PA-C
• Irfan Shamim Habib, DO
• Mahnaz Habib
• Muzhda Habib
• Candace Hache
• Zaidoon M Hadadeen, DDS
• Tina Haeri
• Mark Haft, DO
• Margina Haggard
• Abraham Hagos, PA-C

• Emergency Medicine Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.