DR. ALBERT ANTONYAN (MD) – Dermatology Physician, NPI 1457770273
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for DR. ALBERT ANTONYAN (MD)
1125 E 17th St Ste W248
Santa Ana, CA 92701
Phone: (714) 547-5151
Fax: (714) 547-4027
Type: Location
1125 E 17TH ST STE W248
SANTA ANA, CA 927012205
Phone: (714) 547-5151
Fax: (714) 547-4027
Type: Mailing
28625 S WESTERN AVE # 55
RANCHO PALOS VERDES, CA 902750810
Phone:
Type: Mailing
24520 HAWTHORNE BLVD STE 240
TORRANCE, CA 905056849
Phone: (310) 300-6206
Fax: (310) 919-3703
Type: Location
553 N PACIFIC COAST HWY STE B404
REDONDO BEACH, CA 902772163
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 252 Open Payments records for all available years, with a total value of $7,806.
Total Amount is formed as General ($7,806) + Research ($0) + Ownership ($0) = $7,806.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lumenis BE inc ($2,078).
Total Amount
$7,806
General + Research + Ownership
Payments
252
Total payment records
General Amount
$7,806
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lumenis BE inc | $2,078 |
| ABBVIE INC. | $1,040 |
| Dermavant Sciences, Inc. | $582 |
| GENZYME CORPORATION | $385 |
| Novartis Pharmaceuticals Corporation | $352 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180905001702 | I | Dermatology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,248 | 160 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 342 | 214 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 225 | 174 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 161 | 120 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 121 | 89 | $0 |
Insurance plans in this area (ZIP 92701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Nurse Practitioner | CA |
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