Susan Georgetta Yepremyan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

14318 Kittridge St
Van Nuys, CA 91405-4709

Phone

(818) 378-5353

NPI assigned

Jan 6, 2021

Sex

Female

Sole proprietor

Yes

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

Physician Assistant

State licenses

Practice roles

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.

• Mobile Physicians Medical Allied Group Inc

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1184199275
  Medicare reassignment NPD (past)
• Alta Cielo Medical Group Inc

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1528958626
  Medicare reassignment
• Global Integrated Medical Group, Inc.

  • Primary Care Nurse Practitioner
  • West Covina, CA
  • NPI 1578019485
  Medicare reassignment
• California Mobile Medical Group Inc

  dba The Mobile DRS

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1588439061
  NPD (past)

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1093303893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14318 KITTRIDGE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054709",
            "telephone_number": "818-378-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14318 KITTRIDGE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054709",
            "telephone_number": "818-378-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEPREMYAN",
        "first_name": "SUSAN",
        "middle_name": "GEORGETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeghisheh Mirzoyan D.D.S., Inc.
• Nvard N Yeghoyan
• Aykaz Yegoyan
• Yellow Tulips Home Health Inc.
• Yemi Oguntolu (Global Aid Medical Supply)
• John Yermian, M.D.
• Anastasia Yerofeyeva
• Gladys Hope Dadivas Yerro, MD
• Arek Avedis Yetenekian
• Gebrehiwot Hailu Yibalih, FNP

• Student in an Organized Health Care Education/Training Program in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.