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ARMEN AVETISYAN PA-C
NPI 1538625405
Physician Assistant - Medical in Los Angeles, CA

Active since February 15, 2019PECOS Enrolled
1245 WILSHIRE BLVD STE 606, LOS ANGELES, CA 90017(213) 483-1055 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2022, Jan 30, 2022, Feb 15, 2019 (3 updates tracked since 2019).

About Armen Avetisyan Pa-c NPPES

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

ARMEN AVETISYAN PA-C (NPI 1538625405) is an individual medical provider in Los Angeles, California, licensed in California (56686) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538625405
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameARMEN AVETISYANCredential: PA-C
Location Address1245 WILSHIRE BLVD STE 606Los Angeles, CA 90017-4806
Mailing Address301 N Belmont St Unit 309Glendale, CA 91206-3899 · (818) 800-8010
Phone(213) 483-1055
Sole ProprietorYes
Enumeration DateFebruary 15, 2019
Last NPPES UpdateFebruary 10, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1538625405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 56686
1245 WILSHIRE BLVD STE 606, Los Angeles, CA 90017
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Armen Avetisyan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers20 claims38 services$6.52 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims14 services$1.12 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 2

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

ALEXANDER FRANCIS PHAN PA-C
Physician Assistant
1245 WILSHIRE BLVD STE 606
LOS ANGELES, CA 90017
Los Angeles County (213) 483-1055
VAHRAM ORNEKIAN
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1245 WILSHIRE BLVD STE 606
LOS ANGELES, CA 90017
Los Angeles County (213) 483-1055

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 Armen Avetisyan's NPI number?

The NPI number for Armen Avetisyan is 1538625405. It was assigned to this individual provider in the NPPES registry on February 15, 2019.

Where is Armen Avetisyan located?

Armen Avetisyan practices at 1245 Wilshire Blvd Ste 606, Los Angeles, CA 90017. The listed phone number is (213) 483-1055.

What is Armen Avetisyan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Armen Avetisyan enrolled in Medicare?

Yes. Armen Avetisyan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Armen Avetisyan was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.