Individual provider Active NPI

Ovsanna Arakelyan

  • Nurse Practitioner
  • Agoura Hills, CA
National Provider Identifier
1114897030
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95036721 Issued in CA
Practice address
29219 Canwood St
Agoura Hills, CA 91301-1560
Phone
(818) 469-0066
NPI assigned
Nov 6, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95036721 CA Primary

Addresses

Primary practice location

29219 Canwood St
Agoura Hills, CA 91301-1560

Mailing address

14611 Leadwell St
Van Nuys, CA 91405-1908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95036721CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Mobile & Wound Care Inc Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1114897030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14611 LEADWELL ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29219 CANWOOD ST",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011560",
            "telephone_number": "818-469-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAKELYAN",
        "first_name": "OVSANNA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95036721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.