Individual provider Active NPI

Narine Kureghyan

  • Family Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1013744846
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95221789 Issued in CA
Practice address
6335 Mary Ellen Ave
Van Nuys, CA 91401-2521
Phone
(818) 661-8180
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95221789 CA Primary

Addresses

Primary practice location

6335 Mary Ellen Ave
Van Nuys, CA 91401-2521

Mailing address

6335 Mary Ellen Ave
Van Nuys, CA 91401-2521
Phone (818) 661-8180

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
I20250213003412 CA Practitioner - Nurse Practitioner 5799215133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95221789CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Medical Group-a Professional Nursing Corporation CurrentSince Jan 20, 2025 Accepting new patients

Locations

3100 W Burbank Blvd
Ste 105
Burbank, CA 91505
Phone (562) 313-8090

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1013744846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 MARY ELLEN AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012521",
            "telephone_number": "818-661-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 MARY ELLEN AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012521",
            "telephone_number": "818-661-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUREGHYAN",
        "first_name": "NARINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95221789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.