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HAYK DOVLATYAN
NPI 1275400467
Nurse Practitioner in Pomona, CA

Active since October 21, 2025PECOS Enrolled
1984 INDIAN HILL BLVD, POMONA, CA 91767(909) 447-2323 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hayk Dovlatyan NPPES

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

HAYK DOVLATYAN (NPI 1275400467) is an individual nurse practitioner in Pomona, California, licensed in California (95036180) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275400467
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameHAYK DOVLATYAN
Location Address1984 INDIAN HILL BLVDPomona, CA 91767-3620
Mailing Address1984 Indian Hill BlvdPomona, CA 91767-3620 · (909) 447-2323
Phone(909) 447-2323
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 21, 2025
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1275400467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95036180
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1984 INDIAN HILL BLVD, Pomona, CA 91767
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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)

Hayk Dovlatyan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668946948
PECOS Enrollment IDI20260708001015
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 Hayk Dovlatyan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prestige Medical Clinic And Urgent Care Inc
Same address
Urgent Care
1984 INDIAN HILL BLVD
Pomona, CA 91767
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
NPI 1801444708 (909) 447-2323

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 91767 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 7

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

DR. EMY ODURO-BURTON DNP-BC
Family Medicine
1984 INDIAN HILL BLVD
POMONA, CA 91767
Los Angeles County (909) 447-2323
PRESTIGE MEDICAL CLINIC AND URGENT CARE
Clinic/Center (Urgent Care)
1984 INDIAN HILL BLVD
POMONA, CA 91767
Los Angeles County (909) 447-2323
PRESTIGE MEDICAL CLINIC AND URGENT CARE INC
Clinic/Center (Urgent Care)
1984 INDIAN HILL BLVD
POMONA, CA 91767
Los Angeles County (909) 447-2323
PRESTIGE MEDICAL CLINIC AND URGENT CARE,INC
Clinic/Center (Urgent Care)
1984 INDIAN HILL BLVD
POMONA, CA 91767
Los Angeles County (909) 447-2323
LETICIA C BARKSDALE MD
Family Medicine
1984 INDIAN HILL BLVD
POMONA, CA 91767
Los Angeles County (909) 447-2323
WELLS PHARMACY, INC
Pharmacy (Community/Retail Pharmacy)
1984 INDIAN HILL BLVD
POMONA, CA 91767
Los Angeles County (909) 949-6889
PRESTIGE MEDICAL CLINIC AND URGENT CARE INC
Clinic/Center (Urgent Care)
1984 INDIAN HILL BLVD
POMONA, CA 91767
Los Angeles County (909) 447-2323

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 Hayk Dovlatyan's NPI number?

The NPI number for Hayk Dovlatyan is 1275400467. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Hayk Dovlatyan located?

Hayk Dovlatyan practices at 1984 Indian Hill Blvd, Pomona, CA 91767. The listed phone number is (909) 447-2323.

What is Hayk Dovlatyan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Hayk Dovlatyan enrolled in Medicare?

Yes. Hayk Dovlatyan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hayk Dovlatyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hayk Dovlatyan reassigns Medicare benefits to Prestige Medical Clinic And Urgent Care Inc (Pomona, 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 Hayk Dovlatyan'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 Hayk Dovlatyan was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.