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ANDRE BASMADZHYAN D.O.
NPI 1508307745
Family Medicine in San Fernando, CA

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
732 MOTT ST STE 100-110, SAN FERNANDO, CA 91340(818) 963-5690 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2020, Sep 10, 2019, Mar 20, 2017 (3 updates tracked since 2017).

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

NPI1508307745
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDRE BASMADZHYANCredential: D.O.
Location Address732 MOTT ST STE 100-110San Fernando, CA 91340-4237
Mailing Address732 Mott St Ste 100-110San Fernando, CA 91340-4237 · (818) 963-5690
Phone(818) 963-5690
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateNovember 5, 20203 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1508307745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A18560
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
732 MOTT ST STE 100-110, San Fernando, CA 91340
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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 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.

PECOS PAC ID3375811219
PECOS Enrollment IDI20241211003261
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 Andre Basmadzhyan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Fernando Community Hospital
Same address
Primary Care
732 MOTT ST, SUITE 100
San Fernando, CA 91340
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1245669555 (818) 963-5690

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 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.

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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TIFFANY CHANG DDS
Dentist (General Practice)
732 MOTT ST STE 100-110
SAN FERNANDO, CA 91340
Los Angeles County (818) 963-5690
SANDY D FLORES RDN
Dietitian, Registered
732 MOTT ST STE 100-110
SAN FERNANDO, CA 91340
Los Angeles County (818) 963-5690
DR. MARK A FOLMSBEE D.O.
General Practice
732 MOTT ST STE 100-110
SAN FERNANDO, CA 91340
Los Angeles County (818) 963-5690
DR. MARIA LAURA ARCINIEGA DDS
Dentist (General Practice)
732 MOTT ST STE 100-110
SAN FERNANDO, CA 91340
Los Angeles County (818) 963-5690
ADRIANA COBIAN N.P.
Nurse Practitioner (Family)
732 MOTT ST STE 100-110
SAN FERNANDO, CA 91340
Los Angeles County (818) 963-5690

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.

Which organization bills Medicare for Andre Basmadzhyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Basmadzhyan reassigns Medicare benefits to San Fernando Community Hospital (San Fernando, 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 Andre Basmadzhyan'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 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 6 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.