Emma Avetisyan, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95002250 Issued in CA

Practice address

9627 Woodley Ave
North Hills, CA 91343-1903

Phone

(323) 420-9515

NPI assigned

Jul 6, 2015

Sex

Female

Sole proprietor

No

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

Nurse Practitioner

State licenses

Practice roles (2 of 3)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: emma.avetisyan.p1@direct.lakeside.nextgenshare.com

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.

• Carepath Medical Group Inc

  • Primary Care Nurse Practitioner
  • Glendale, CA
  • NPI 1851085948

  CA

  Medicare reassignment NPD
• Ramesh Arora Medical Corp.

  • Interventional Cardiology Physician
  • Van Nuys, CA
  • NPI 1144273095

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1114300449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9627 WOODLEY AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913431903",
            "telephone_number": "323-420-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9627 WOODLEY AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913431903",
            "telephone_number": "323-420-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVETISYAN",
        "first_name": "EMMA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95002250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelli Asatryan, PHARMD
• Atlantic Recovery Services
• Kimia Attar
• Aurora Senior Living
• Stephanie Sophia Averbukh
• Jonathan H Bach, LMFT
• Ramon H. Bagby
• Pantea Lexi Bagheri, LCSW
• Bahama Assisted Living Inc.
• Sarah Patricia Baitis, M.S.M.F.T.

• All providers in North Hills, CA
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.