Lusine Antinyan, FNP
Individual provider Active NPI Hospice and Palliative Medicine (Family Medicine) Physician · Arleta, CA
NPI 1124783014 · NPPES record last updated Sep 12, 2023
Key facts
- NPI
- 1124783014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X
- License
- 95018666 (CA)
- Practice address
- 8953 Woodman Ave Ste 202
Arleta, CA 91331-6480 - Phone
- (818) 448-8737
- NPI assigned
- Nov 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018666 | CA | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aventus Hospice Inc. | Hospice and Palliative Medicine | Current |
Accepting new patients |
| VN Home Health Services, Inc. | Current | Accepting new patients | |
| IV Hospice, Inc. | Past |
Accepting new patients | |
| Seventh Ocean Home Health, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 95018666 | CA | Yes |
Addresses
Primary practice location
8953 Woodman Ave Ste 202
Arleta, CA 91331-6480
Mailing address
13133 Ebell St
North Hollywood, CA 91605-1006
Phone (818) 448-8737
Other providers in Arleta, CA
- Carrie Alfaro
- Almamed Transportation Inc.
- Amaris Care Inc
- Melissa Amaya-Mijares
- Andranik Aneian
- Arnold Appel
- Nathaly J Aquino
- Arleta Foot Care, Inc.
- Arleta Medical Equipment, Inc.
- Joseph Arreola
All providers in Arleta, CA · Hospice and Palliative Medicine (Family Medicine) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.