Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Basmadzhyan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508307745

Andre Basmadzhyan, DO is a Family Practice in San Fernando, California. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2017, 9 years ago. Practices with San Fernando Community Hospital, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

732 Mott St Ste 100-110
San Fernando, CA 91340-4237
Phone: (818) 963-5690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A18560 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508307745
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 20, 2017
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020
Mailing address732 Mott St Ste 100-110, San Fernando, CA 91340-4237

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2017 (9 years in practice)
Group practice San Fernando Community Hospital — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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