Individual provider Active NPI

Vartouhi Rosalie Mansourian, PMHNP-BC, MSN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1013620483
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95023767 Issued in CA
Practice address
1760 Termino Ave Ste 100
Long Beach, CA 90804-2182
Phone
(310) 552-0146
NPI assigned
Jan 2, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95023767 CA Primary

Addresses

Primary practice location

1760 Termino Ave Ste 100
Long Beach, CA 90804-2182

Mailing address

1760 Termino Ave Ste 100
Long Beach, CA 90804-2182
Phone (310) 552-0146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230214002786 CA Practitioner - Nurse Practitioner 6305218660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tolwin Psychiatric Medical Group IncGroup PAC ID 9830127414, 12 clinicians

Practice addresses (Care Compare)

5000 Overland Ave
Suite 108
Culver City, CA 90230-4969
Phone (310) 280-9670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
95
Improvement activities
40
Cost
49.96

Merit-based Incentive Payment System (MIPS)

Final score
77.19 of 100Reported as group
Quality
53.33
Improvement activities
40
Cost
52.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tolwin Psychiatric Medical Group Inc CurrentSince Jun 1, 2023 Accepting new patients
Culver City Psychological Associates, Inc. PastSince Jun 1, 2023 Accepting new patients

Locations

5000 Overland Ave
Ste 108
Culver City, CA 90230
Phone (310) 280-9670

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2f200361-7791-4302-badd-31bba76d31ab/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1013620483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042182",
            "telephone_number": "310-552-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042182",
            "telephone_number": "310-552-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOURIAN",
        "first_name": "VARTOUHI",
        "middle_name": "ROSALIE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.