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GAYANE AVAGIMIAN PMHNP
NPI 1154171106
Nurse Practitioner - Psychiatric/Mental Health in North Hollywood, CA

Active since March 25, 2024PECOS Enrolled
12215 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606(213) 219-5063 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gayane Avagimian Pmhnp NPPES

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

GAYANE AVAGIMIAN PMHNP (NPI 1154171106) is an individual psychiatric/mental health provider in North Hollywood, California, licensed in California (95028855) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154171106
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGAYANE AVAGIMIANCredential: PMHNP
Location Address12215 VICTORY BLVDNorth Hollywood, CA 91606-3206
Mailing Address720 E San Jose Ave Unit 104Burbank, CA 91501-3606 · (213) 219-5063
Phone(213) 219-5063
Sole ProprietorYes
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 23, 2024
✔ NPI 1154171106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95028855
12215 VICTORY BLVD, North Hollywood, CA 91606
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gayane Avagimian Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Gayane Avagimian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Coast Psych Medical Associates PC
88 mi
Community/Behavioral Health
903 E DEVONSHIRE AVE STE E
Hemet, CA 92543
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1467269068 (951) 322-4532

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91606 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUN KO FNP-C
Nurse Practitioner (Family)
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 299-5500
THIRAT CHAKAVANMONGKOL
Nurse Practitioner (Family)
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 299-5500
ALLISON BROOKE MURRAY MSN, AGACNP-BC
Nurse Practitioner (Acute Care)
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 415-9742
BELEN LEYVA
Nurse Practitioner
12215 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Los Angeles County (818) 286-0425

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 Gayane Avagimian's NPI number?

The NPI number for Gayane Avagimian is 1154171106. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Gayane Avagimian located?

Gayane Avagimian practices at 12215 Victory Blvd, North Hollywood, CA 91606. The listed phone number is (213) 219-5063.

What is Gayane Avagimian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gayane Avagimian enrolled in Medicare?

Yes. Gayane Avagimian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gayane Avagimian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gayane Avagimian reassigns Medicare benefits to Southern Coast Psych Medical Associates PC (Hemet, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gayane Avagimian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gayane Avagimian was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.