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OLIVE HEALTH MEDICAL GROUP INC
NPI 1205077039
General Practice in Burbank, CA

Active since March 06, 2009CLIA 05D1018676 · Waiver
500 E OLIVE AVE, SUITE 315, BURBANK, CA 91501(818) 972-1000(818) 972-9007 Get Directions Write a Review

NPPES record last updated: March 6, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Olive Health Medical Group Inc NPPES

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

OLIVE HEALTH MEDICAL GROUP INC (NPI 1205077039) is a healthcare organization registered as a general practice in Burbank, California and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Karine Kirakosyan, President, as its authorized official.

NPPES Registry Identity

NPI1205077039
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameOLIVE HEALTH MEDICAL GROUP INC
Location Address500 E OLIVE AVE, SUITE 315Burbank, CA 91501-3316
Mailing Address500 E Olive Ave, Suite 315Burbank, CA 91501-3316 · (818) 972-1000 · Fax (818) 972-9007
Phone(818) 972-1000
Fax(818) 972-9007
Organization SubpartNo
Authorized OfficialKarine KirakosyanPresident · (818) 972-1000
Enumeration DateMarch 6, 2009
✔ NPI 1205077039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
500 E OLIVE AVE, Burbank, CA 91501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olive Health Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Olive Health Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Vladimir Ayvazyan, M.D.
Internal Medicine
NPI 1477887206
500 E OLIVE AVE 315
Burbank, CA 91501
(818) 972-1000
✔ PECOS✔ Accepts MedicareSame address
Karine Kirakosyan, M.D.
General Practice
NPI 1427092071
500 E OLIVE AVE 315
Burbank, CA 91501
(818) 972-1000
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1018676

Olive Health Medical Group Inc · Burbank, CA
Active · expires Oct 27, 2027
CLIA Number05D1018676
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorKarine Kirakosyan
Laboratory Phone(818) 972-1000
Laboratory LocationOlive Health Medical Group Inc500 E Olive Avenue #315, Burbank, CA 91501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Olive Health Medical Group Inc's NPI number?

The NPI number for Olive Health Medical Group Inc is 1205077039. It was assigned to this organization in the NPPES registry on March 6, 2009.

Where is Olive Health Medical Group Inc located?

Olive Health Medical Group Inc is located at 500 E Olive Ave Suite 315, Burbank, CA 91501. The listed phone number is (818) 972-1000.

What is Olive Health Medical Group Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Olive Health Medical Group Inc enrolled in Medicare?

Yes. Olive Health Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olive Health Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Olive Health Medical Group Inc, in General Practice and Internal Medicine. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Olive Health Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1018676) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Olive Health Medical Group Inc was last updated on March 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.