Talar Mardirossian

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95028682 Issued in CA

Practice address

5805 Sepulveda Blvd Ste 690
Sherman Oaks, CA 91411-2522

Phone

(818) 900-6480

NPI assigned

Feb 20, 2024

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Southern California Multi-Specialty Center Inc

  • Surgery Physician
  • Sherman Oaks, CA
  • NPI 1407326606
  NPD
• Southern California Multi-Specialty Center Inc

  • Surgery Physician
  • Tarzana, CA
  • NPI 1730863804
  NPD

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1093570731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 SEPULVEDA BLVD STE 690",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 SEPULVEDA BLVD STE 690",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112522",
            "telephone_number": "818-900-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDIROSSIAN",
        "first_name": "TALAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Beth Mao, BCBA
• Ashley Maravilla
• Mark Charles Marcus, D.D.S.
• Jacklynne Marder
• Ani Mardirossian, NP
• Brandon Maret
• Margaret N. Zepfel, DC
• Michelle I Margules, PSY.D.
• Maria I. Seliverstov, MD Inc.
• Danielle Elizabeth Marianacci

• Nurse Practitioner in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.