Individual provider Active NPI

Lusine Antinyan, FNP

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Arleta, CA
National Provider Identifier
1124783014
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
95018666 Issued in CA
Practice address
8953 Woodman Ave Ste 202
Arleta, CA 91331-6480
Phone
(818) 448-8737
NPI assigned
Nov 4, 2021
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 95018666 CA Primary

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

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95018666CAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aventus Hospice Inc. Hospice and Palliative Medicine CurrentSince Apr 16, 2020 Accepting new patients
VN Home Health Services, Inc. Current Accepting new patients
Seventh Ocean Home Health, Inc PastSince Nov 16, 2020 Accepting new patients
IV Hospice, Inc. PastSince Nov 1, 2021 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1124783014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13133 EBELL ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051006",
            "telephone_number": "818-448-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8953 WOODMAN AVE STE 202",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316480",
            "telephone_number": "818-448-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTINYAN",
        "first_name": "LUSINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "95018666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arleta, CA

Sources for this page

Verify at the official NPI Registry.