Alvina Mkrtumyan, NP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

95027021 Issued in CA

Practice address

18040 Sherman Way Ste 204
Reseda, CA 91335-4656

Phone

(818) 964-2222

Fax

(747) 267-7878

NPI assigned

Sep 6, 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

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Healing Garden Corporation

  • Home Health Agency
  • Encino, CA
  • NPI 1275115453
  NPD Authorized official
• Kare Hospice

  • Community Based Hospice Care Agency
  • Northridge, CA
  • NPI 1649854423
  NPD Authorized official
• Apex Community Health Center Inc

  • Primary Care Clinic/Center
  • Reseda, CA
  • NPI 1639815186
  NPD
• Apex Community Health Center Inc

  • Primary Care Clinic/Center
  • Reseda, CA
  • NPI 1780487728
  NPD (past)

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1104651306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13140 BASSETT ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054726",
            "telephone_number": "818-399-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18040 SHERMAN WAY STE 204",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354656",
            "telephone_number": "818-964-2222",
            "fax_number": "747-267-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MKRTUMYAN",
        "first_name": "ALVINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "95027021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miras Home Health Care, Inc.
• Miras Hospice Care, Inc.
• Svetlana Mironova, L.AC
• Mirshojae Chiropractic Inc.
• Mirshojae Chiropractic, Inc
• Mobile Medical Transportaiton Inc
• Modern Nephrology a Professional Medical Corporation
• Heather Anne Moffitt, RN
• Sepideh Mohabataeen, MPT
• Markeya Sherryl Molezion

• Primary Care Clinic/Center in Reseda, CA
• Providers in Reseda, CA by specialty
• Primary Care Clinic/Center in California

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