EVLYN AVANESSIAN, MD, INC
NPI 1457768731
Family Medicine in La Crescenta, CA

Active since July 17, 2014
3628 FOOTHILL BLVD, LA CRESCENTA, CA 91214(818) 296-9601(818) 296-9602 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2023, Jun 22, 2021, Jul 13, 2018 (3 updates tracked since 2018).

About Evlyn Avanessian, Md, Inc NPPES

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

EVLYN AVANESSIAN, MD, INC (NPI 1457768731) is a healthcare organization registered as a family medicine in La Crescenta, California and active in the NPI registry since July 2014. The organization lists Evlyn Avanessian, Md, as its authorized official.

NPPES Registry Identity

NPI1457768731
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVLYN AVANESSIAN, MD, INC
Location Address3628 FOOTHILL BLVDLa Crescenta, CA 91214-1724
Mailing Address3628 Foothill BlvdLa Crescenta, CA 91214-1724 · (818) 296-9601 · Fax (818) 296-9602
Fax(818) 296-9602
Organization SubpartNo
Authorized OfficialEvlyn AvanessianMd · (818) 352-3146
Enumeration DateJuly 17, 2014
Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1457768731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X · License A127456 (CA)
3628 FOOTHILL BLVD, La Crescenta, CA 91214

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evlyn Avanessian, Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evlyn Avanessian, MD, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1295020709
3628 FOOTHILL BLVD
La Crescenta, CA 91214
(818) 296-9601
✔ 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.

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 Evlyn Avanessian, MD, Inc's NPI number?

The NPI number for Evlyn Avanessian, MD, Inc is 1457768731. It was assigned to this organization in the NPPES registry on July 17, 2014.

Where is Evlyn Avanessian, MD, Inc located?

Evlyn Avanessian, MD, Inc is located at 3628 Foothill Blvd, La Crescenta, CA 91214. The listed phone number is (818) 296-9601.

What is Evlyn Avanessian, MD, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Evlyn Avanessian, MD, Inc enrolled in Medicare?

Yes. Evlyn Avanessian, MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evlyn Avanessian, MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Evlyn Avanessian, MD, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evlyn Avanessian, MD, Inc was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.