Active NPI
Ani Ghazaryan
- Assisted Living Facility
- Van Nuys, CA
National Provider Identifier
1053194878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 195850278
- Practice address
- 7063 Tyrone Ave
Van Nuys, CA 91405-3143 - Phone
- (818) 510-0097
- Fax
- (818) 279-6849
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 195850278 | CA | Primary |
Addresses
Primary practice location
7063 Tyrone Ave
Van Nuys, CA 91405-3143
Mailing address
7063 Tyrone Ave
Van Nuys, CA 91405-3143
Phone (818) 510-0097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195850278 | CA | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1053194878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7063 TYRONE AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053143",
"telephone_number": "818-510-0097",
"fax_number": "818-279-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7063 TYRONE AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053143",
"telephone_number": "818-510-0097",
"fax_number": "818-279-6849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAZARYAN",
"first_name": "ANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "195850278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.