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DESPINA GHABY KAYICHIAN M.D.
NPI 1972614493
Specialist in Venice, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
604 ROSE AVE, VENICE, CA 90291(310) 392-8636(310) 392-7875 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Despina Ghaby Kayichian M.d. NPPES

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

DESPINA GHABY KAYICHIAN M.D. (NPI 1972614493) is an individual specialist in Venice, California, licensed in California (A52950) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1972614493
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDESPINA GHABY KAYICHIANCredential: M.D.
Location Address604 ROSE AVEVenice, CA 90291-2767
Mailing Address1500 S Central Ave, Suite #221Glendale, CA 91204-2530 · (818) 500-4055 · Fax (818) 500-4065
Phone(310) 392-8636
Fax(310) 392-7875
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1972614493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A52950
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
604 ROSE AVE, Venice, CA 90291
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Other Identifiers 1

Medicaid00A529500CA

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

Despina Ghaby Kayichian 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 ID7618996638
PECOS Enrollment IDI20051117001066
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 Despina Kayichian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Venice Family Clinic
Same address
Federally Qualified Health Center (FQHC)
604 ROSE AVE
Venice, CA 90291
  • Reassigned Medicare billing, California enrollment
  • 147 clinicians in this Medicare group
NPI 1669418513 (310) 392-8636

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BEVERLY ANN KARPMAN M.D.
Internal Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
ALEXANDER PAPPAS MD
Family Medicine (Addiction Medicine)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
MICHAEL ALAN DONATH
Psychiatry & Neurology (Psychosomatic Medicine)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
DR. MITESH G POPAT MD
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
MIRIAM C PADILLA M.D.
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 664-7600
MERRIES N. THOMPSON-MARVEL DMD
Dentist
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
SUSAN MOJDEH PARTOVI M.D.
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
ELISABETH HELEN CEDERBLOM FNP
Nurse Practitioner (Family)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636

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 Despina Kayichian's NPI number?

The NPI number for Despina Kayichian is 1972614493. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Despina Kayichian located?

Despina Kayichian practices at 604 Rose Ave, Venice, CA 90291. The listed phone number is (310) 392-8636.

What is Despina Kayichian's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Despina Kayichian enrolled in Medicare?

Yes. Despina Kayichian 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 Despina Kayichian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Despina Kayichian reassigns Medicare benefits to Venice Family Clinic (Venice, 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 Despina Kayichian'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 Despina Kayichian was last updated on March 31, 2021. 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.