AMBARTSUM GEZALYAN PA
NPI 1639227523
Physician Assistant in Panorama City, CA

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
13652 CANTARA ST, PANORAMA CITY, CA 91402(818) 375-2000 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ambartsum Gezalyan Pa NPPES

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

AMBARTSUM GEZALYAN PA (NPI 1639227523) is an individual physician assistant in Panorama City, California, licensed in California (PA12001) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1639227523
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameAMBARTSUM GEZALYANCredential: PA
Location Address13652 CANTARA STPanorama City, CA 91402-5423
Mailing Address13652 Cantara StPanorama City, CA 91402-5423 · (818) 375-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 1, 2021
NPI 1639227523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA12001
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13652 CANTARA ST, Panorama City, CA 91402

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

Ambartsum Gezalyan Pa 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 ID4981652773
PECOS Enrollment IDI20050107000899
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91402 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 20

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

Pharmacist
13652 CANTARA ST, INPATIENT PHARMACY
PANORAMA CITY, CA 91402
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Psychiatry & Neurology (Psychiatry)
13652 CANTARA ST
PANORAMA CITY, CA 91402
Internal Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402
Dietitian, Registered
13652 CANTARA ST, PANORAMA CITY
PANORAMA CITY, CA 91402
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA 91402
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Family Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402

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 Ambartsum Gezalyan's NPI number?

The NPI number for Ambartsum Gezalyan is 1639227523. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Ambartsum Gezalyan located?

Ambartsum Gezalyan practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (818) 375-2000.

What is Ambartsum Gezalyan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ambartsum Gezalyan enrolled in Medicare?

Yes. Ambartsum Gezalyan 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 Ambartsum Gezalyan was last updated on December 1, 2021. 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.