Individual provider Active NPI

Viktoriya Stepanyan

  • Acute Care Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1063159523
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95020871 Issued in CA
Practice address
333 E Magnolia Blvd Ste 103
Burbank, CA 91502-1198
Phone
(818) 848-1555
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95020871 CA
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 95020871 CA Primary

Addresses

Primary practice location

333 E Magnolia Blvd Ste 103
Burbank, CA 91502-1198

Mailing address

704 E Windsor Rd Apt 1
Glendale, CA 91205-2445
Phone (818) 795-9395

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
I20230705000474 CA Practitioner - Nurse Practitioner 2961861224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 S Glenoaks Blvd
Suite 101
Burbank, CA 91502-2707
Phone (818) 748-1740

5160 Vineland Ave
Suite 109
North Hollywood, CA 91601-3888
Phone (818) 738-7774

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95020871CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince May 20, 2023 Accepting new patients
All for Health Health for All Inc CurrentSince May 20, 2023 Accepting new patients
All for Health Health for All Inc Single Specialty Current Accepting new patients

Locations

401 S Glenoaks Blvd
Ste 101
Burbank, CA 91502
Phone (818) 748-1740

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: stepanyannp.viktoriya.p1@direct.afh.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1063159523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E WINDSOR RD APT 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052445",
            "telephone_number": "818-795-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E MAGNOLIA BLVD STE 103",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021198",
            "telephone_number": "818-848-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANYAN",
        "first_name": "VIKTORIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020871",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95020871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.