Active NPI
Yevgenya Simonyan
- Family Medicine Physician
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NP95033139
- Practice address
- 11240 Magnolia Blvd Ste 102
North Hollywood, CA 91601-3790 - Phone
- (747) 877-8184
- NPI assigned
- Jan 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NP95033139 | CA | Primary |
Addresses
Primary practice location
11240 Magnolia Blvd Ste 102
North Hollywood, CA 91601-3790
Mailing address
1630 Shadow Oaks PL
Thousand Oaks, CA 91362-1925
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11240 Magnolia Blvd
Suite 102
North Hollywood, CA 91601-3790
1141 N Brand Blvd
Suite 302
Glendale, CA 91202-2511
1141 N Brand Blvd
Suite 302
Glendale, CA 91202-3069
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95033139 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Pain Clinic Inc | Current | Accepting new patients | |
| Valley Health Medical Group, Inc | Current | Accepting new patients |
Locations
1141 N Brand Blvd
Ste 302
Glendale, CA 91202
Phone (747) 229-9000
11240 Magnolia Blvd
Ste 102
North Hollywood, CA 91601
Phone (747) 256-8184
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Caring Home Home Care Inc | Home health agency | W-2 Managing Employee Operational/Managerial Control |
May 30, 2023 May 30, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Burbank, CA
- NPI 1376158634
Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Burbank, CA
- NPI 1104488832
-
- Internal Medicine Physician
- North Hollywood, CA
- NPI 1609630755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1114737798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 SHADOW OAKS PL",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913621925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11240 MAGNOLIA BLVD STE 102",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013790",
"telephone_number": "747-877-8184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONYAN",
"first_name": "YEVGENYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "NP95033139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.