ANDRE BASMADZHYAN D.O.
NPI 1508307745
Family Medicine in San Fernando, CA
About Andre Basmadzhyan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRE BASMADZHYAN D.O. (NPI 1508307745) is an individual family medicine provider in San Fernando, California, licensed in California (20A18560) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Andre Basmadzhyan D.o. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FERNANDO, CA 91340
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 Andre Basmadzhyan's NPI number?
The NPI number for Andre Basmadzhyan is 1508307745. It was assigned to this individual provider in the NPPES registry on March 20, 2017.
Where is Andre Basmadzhyan located?
Andre Basmadzhyan practices at 732 Mott St Ste 100-110, San Fernando, CA 91340. The listed phone number is (818) 963-5690.
What is Andre Basmadzhyan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Andre Basmadzhyan enrolled in Medicare?
Yes. Andre Basmadzhyan 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 Andre Basmadzhyan was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Andre Basmadzhyan, D.O. · NPI 1508307745
Family Medicine physician in San Fernando, California. Individual provider, active in the CMS NPPES registry since March 20, 2017.
## Identity
- **NPI:** 1508307745 (Entity type: Individual)
- **Enumerated:** March 20, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A18560 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 732 MOTT ST STE 100-110, San Fernando, CA 91340-4237
- **Phone:** (818) 963-5690
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2017
## Record status
- **NPPES last updated:** November 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1508307745) · Data from the CMS NPPES public registry.