Individual provider Active NPI

Rita Parsamyan Mahood, NP

  • Nurse Practitioner
  • Valley Village, CA
National Provider Identifier
1124789599
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017262 Issued in CA
Practice address
12410 Burbank Blvd Ste 103
Valley Village, CA 91607-4728
Phone
(818) 821-8391
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 95017262 CA Primary

Addresses

Primary practice location

12410 Burbank Blvd Ste 103
Valley Village, CA 91607-4728

Mailing address

222 Monterey Rd Unit 1402
Glendale, CA 91206-2070

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017262CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Noor Home Health CurrentSince Jan 17, 2022 Accepting new patients
Orthovive Physical Therapy & Wellness, Inc. Single Specialty CurrentSince Feb 2, 2025 Accepting new patients

Locations

12410 Burbank Blvd
Ste 103
Valley Village, CA 91607
Phone (818) 434-8001

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.

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1124789599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MONTEREY RD UNIT 1402",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 BURBANK BLVD STE 103",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074728",
            "telephone_number": "818-821-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSAMYAN MAHOOD",
        "first_name": "RITA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.