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DAVID SIAMANTO HACOBIAN PA
NPI 1053989475
Physician Assistant in Burbank, CA

Active since June 13, 2021PECOS EnrolledAccepts Medicare Assignment
1843 AYERS WAY, BURBANK, CA 91501(818) 303-4915 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Jun 13, 2021 (2 updates tracked since 2021).

About David Siamanto Hacobian Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID SIAMANTO HACOBIAN PA (NPI 1053989475) is an individual physician assistant in Burbank, California and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053989475
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID SIAMANTO HACOBIANCredential: PA
Location Address1843 AYERS WAYBurbank, CA 91501-1106
Mailing Address1843 Ayers WayBurbank, CA 91501-1106 · (818) 303-4915
Phone(818) 303-4915
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 13, 2021
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2021
✔ NPI 1053989475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1843 AYERS WAY, Burbank, CA 91501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Siamanto Hacobian Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214305713
PECOS Enrollment IDI20221114002794
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Hacobian's NPI number?

The NPI number for David Hacobian is 1053989475. It was assigned to this individual provider in the NPPES registry on June 13, 2021.

Where is David Hacobian located?

David Hacobian practices at 1843 Ayers Way, Burbank, CA 91501. The listed phone number is (818) 303-4915.

What is David Hacobian's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Hacobian enrolled in Medicare?

Yes. David Hacobian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Hacobian was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.