Individual provider Active NPI

Natasha Germain, PA-C

  • Medical Physician Assistant
  • North Hollywood, CA
National Provider Identifier
1093164808
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
53508 Issued in CA
Practice address
12157 Victory Blvd
North Hollywood, CA 91606-3204
Phone
(818) 755-8000
Fax
(818) 432-6834
NPI assigned
Jun 13, 2016
Last updated
May 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 53508 CA Primary

Addresses

Primary practice location

12157 Victory Blvd
North Hollywood, CA 91606-3204

Mailing address

12157 Victory Blvd
North Hollywood, CA 91606-3204
Phone (818) 755-8000

Other practice location 1

808 W 58th St
Los Angeles, CA 90037-3632
Phone (323) 541-1411

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
I20170123001061 CA Practitioner - Physician Assistant 4688956915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12157 Victory Blvd
N Hollywood, CA 91606-3204
Phone (818) 755-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53508CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Dec 17, 2016 Accepting new patients
Comprehensive Community Health Centers Inc CurrentSince Jan 31, 2022 Accepting new patients
St. Johns Community Health CurrentSince Dec 17, 2016 Accepting new patients
Comprehensive Community Health Centers Inc Past Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

801 S Chevy Chase Dr
Ste 250
Glendale, CA 91205
Phone (818) 265-2259

12157 Victory Blvd
North Hollywood, CA 91606
Phone (818) 755-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1093164808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12157 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063204",
            "telephone_number": "818-755-8000",
            "fax_number": "818-432-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12157 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063204",
            "telephone_number": "818-755-8000",
            "fax_number": "818-432-6834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 W 58th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900373632",
            "country_code": "US",
            "telephone_number": "323-541-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERMAIN",
        "first_name": "NATASHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "53508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.