Individual provider Active NPI

Yvette Nicole Jehdian, NP

  • Nurse Practitioner
  • Porter Ranch, CA
National Provider Identifier
1073670923
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13256 Issued in CA
Practice address
19217 Kenya St
Porter Ranch, CA 91326-2365
Phone
(562) 355-3460
NPI assigned
Jan 2, 2007
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 13256 CA Primary

Addresses

Primary practice location

19217 Kenya St
Porter Ranch, CA 91326-2365

Mailing address

19217 Kenya St
Porter Ranch, CA 91326-2365
Phone (562) 355-3460

Other identifiers 2

IdentifierTypeStateIssuer
13256OtherCAPRACTITIONER FURNISHING
RN528595OtherCALICENSE

Other names 1

  • Yvette Herrera Former name

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cure4Feet Podiatry Group Inc CurrentSince Oct 15, 2013 Accepting new patients
Foot Pain Management Inc a Professional Corporation CurrentSince Nov 29, 2016 Accepting new patients
Tarzana Pain and Wound Center Current Accepting new patients
Foot and Wound Care Center CurrentSince Nov 1, 2023 Accepting new patients

Locations

10138 Garvey Ave
Ste D
El Monte, CA 91733
Phone (626) 417-9218

3755 Beverly Blvd
#300
Los Angeles, CA 90004
Phone (323) 230-4440

599 Inland Center Dr
Ste 114
San Bernardino, CA 92408
Phone (909) 327-4700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1073670923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19217 KENYA ST",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262365",
            "telephone_number": "562-355-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19217 KENYA ST",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262365",
            "telephone_number": "562-355-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEHDIAN",
        "first_name": "YVETTE",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "13256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTITIONER FURNISHING",
            "identifier": "13256",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN528595",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVETTE",
            "last_name": "HERRERA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Porter Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.