Evlyn Avanessian, MD, Inc
NPI 1457768731ActiveOrganization· Family Medicine· La Crescenta, CA
Family Medicine in La Crescenta, California, registered in NPPES in July 2014. The authorized official on file is Evlyn Avanessian, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457768731 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2014 |
| Last updated in NPPES | Oct 10, 2023 |
| Certified by provider | Oct 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center | 261Q00000X | A127456 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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