DR. EDWIN BAKTANIAN (M.D.) – Anesthesiology Physician, NPI 1922074350

DR. EDWIN BAKTANIAN (M.D.) is a healthcare provider. based in Glendale, California. specializing in INTERVENTIONAL PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. A85580 (CA). The NPI Number for DR. EDWIN BAKTANIAN (M.D.) is 1922074350

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWIN BAKTANIAN (M.D.)
NPI
1922074350
Phone
(818) 653-1970
Address
PO BOX 9240
Enumeration Date
25 February 2006
Last Update Date
4 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
323268500034066
Graduation Year
1999 (27 years ago)
PAC ID
9133168057
Group Practice PAC ID
4486622362
Professional Enrollment ID
I20050429000732
Address ID
CA900332414LO1720XAVEX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

400 INTERVENTIONAL PAIN MANAGEMENT in CA

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Provider Addresses for DR. EDWIN BAKTANIAN (M.D.)

  • Glendale Post Office, 313, East Broadway, Glendale City Center, Glendale, Los Angeles County, California, 91205, United States

    GLENDALE, CA 912260240

    Phone: (818) 653-1970

    Type: Mailing

  • 1030, South Glendale Avenue, Glendale, Los Angeles County, California, 91205, United States

    SUITE 505

    GLENDALE, CA 912055612

    Phone: (818) 653-1970

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-04-29

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050429000732IAnesthesiologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486622362View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
Anesthesiology, Family PracticeCA
A N E S T H E S I O L O G YCA
P O D I A T R YCA
Internal MedicineCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
Internal MedicineCA
A N E S T H E S I O L O G YCA
Anesthesiology, Family Practice, General Practice, General SurgeryCA

Reviews

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Frequently asked questions

Can I verify DR. EDWIN BAKTANIAN (M.D.) with an NPI only?
You can start verification with NPI 1922074350 for DR. EDWIN BAKTANIAN (M.D.), then check state licensing separately.
Is DR. EDWIN BAKTANIAN (M.D.) still practicing?
DR. EDWIN BAKTANIAN (M.D.) is currently listed as active in the public NPI registry.
What is DR. EDWIN BAKTANIAN (M.D.)'s primary classification?
Anesthesiology Physician is the headline specialty for DR. EDWIN BAKTANIAN (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. EDWIN BAKTANIAN (M.D.) based?
DR. EDWIN BAKTANIAN (M.D.) is tied to Glendale, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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