DR. DAVID BOSTANJIAN M.D.
NPI 1639399280
General Practice in Glendale, CA

Active since April 26, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1106723 · Waiver
410 ARDEN AVE, 100, GLENDALE, CA 91203(818) 500-8466(818) 500-9562 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Bostanjian M.d. NPPES

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

DR. DAVID BOSTANJIAN M.D. (NPI 1639399280) is an individual general practice provider in Glendale, California, licensed in California (A97613) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 20, 2027, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1639399280
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. DAVID BOSTANJIANCredential: M.D.
Location Address410 ARDEN AVE, 100Glendale, CA 91203-1127
Mailing Address410 Arden Ave, 100Glendale, CA 91203-1127 · (818) 500-8466 · Fax (818) 500-9562
Fax(818) 500-9562
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 27, 2017
NPI 1639399280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · A97613
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
410 ARDEN AVE, Glendale, CA 91203

Other Identifiers 1

OtherA97613CA · Physician And Segeon Cert

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

Dr. David Bostanjian M.d. 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 ID8123114907
PECOS Enrollment IDI20071010000475
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1106723

David Bostanjian, MD Inc · Glendale, CA
Active · expires Oct 20, 2027
CLIA Number05D1106723
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorDavid Bostanjian, MD
Laboratory Phone(818) 500-8466
Laboratory LocationDavid Bostanjian, MD Inc501 W. Glenoaks Blvd Suite 14, Glendale, CA 91202
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
516 services143 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
462 services149 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
444 services150 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
220 services112 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
188 services36 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
172 services42 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
100%20 patients5/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%20 patients5/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%20 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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
15 suppliers65 claims124 services$5.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers62 claims64 services$0.90 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
5 suppliers15 claims30 services$61.25 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
4 suppliers14 claims84 services$24.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.88 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 supplier11 claims11 services$67.52 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 15

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

General Practice
410 ARDEN AVE, SUITE 101
GLENDALE, CA 91203
Behavior Analyst
410 ARDEN AVE, #204
GLENDALE, CA 91203
Internal Medicine
410 ARDEN AVE, 100
GLENDALE, CA 91203
Behavior Analyst
410 ARDEN AVE, #204
GLENDALE, CA 91203
Behavior Analyst
410 ARDEN AVE, #204
GLENDALE, CA 91203
Acupuncturist
410 ARDEN AVE, 100
GLENDALE, CA 91203
Psychologist
410 ARDEN AVE, SUITE 201
GLENDALE, CA 91203
Behavior Analyst
410 ARDEN AVE, #204
GLENDALE, CA 91203

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 David Bostanjian's NPI number?

The NPI number for David Bostanjian is 1639399280. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is David Bostanjian located?

David Bostanjian practices at 410 Arden Ave 100, Glendale, CA 91203. The listed phone number is (818) 500-8466.

What is David Bostanjian's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is David Bostanjian enrolled in Medicare?

Yes. David Bostanjian 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.

Does David Bostanjian hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1106723) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for David Bostanjian was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.