Lilit Tavatyan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95025336 Issued in CA

Practice address

702 E Colorado St Ste C
Glendale, CA 91205-4555

Phone

(818) 243-8133

Fax

(818) 243-8413

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Uplifting Hospice Care Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
  • NPI 1023690534
  NPD Authorized official
• Arutyun Topsakalyan, MD

  • General Practice Physician
  • Glendale, CA
  • NPI 1205906310
  Medicare reassignment

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1063106797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E COLORADO ST STE C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054555",
            "telephone_number": "818-243-8133",
            "fax_number": "818-243-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E COLORADO ST STE C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054555",
            "telephone_number": "818-243-8133",
            "fax_number": "818-243-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVATYAN",
        "first_name": "LILIT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markesha Tatum
• Taubenfeld Psychological Services
• Wayne A. Taubenfeld, PH.D.
• Tavakalyan Podiatry PC
• Julissa Marie Gutierrez Tavarez
• Tavitian Gastroenterology Medical Group Inc.
• Ara Tavitian, MD
• Armineh Tavitian, M.D.
• Avedis Tavitian, M.D.
• Lim L Taw, M.D.

• Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.