Susanna Ovsepyan

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95023878 Issued in CA

Practice address

701 Santa Monica Blvd Ste 230
Santa Monica, CA 90401-2625

Phone

(626) 755-0319

NPI assigned

Feb 21, 2023

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oceanside Medical Group a Medical CorporationGroup PAC ID 9335311042, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
• Encino Hospital Medical Center Hospital, Encino, CA, CCN 050158
• Pacifica Hospital of the Valley Hospital, Sun Valley, CA, CCN 050378

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Oceanside Medical Group, a Medical Corporation

  • Psychiatry Physician
  • Santa Monica, CA
  • NPI 1861770513
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pacifica of the Valley Corporation

  dba Pacifica Hosptial of the Valley

  • General Acute Care Hospital
  • Sun Valley, CA
  • NPI 1548328750
  Care Compare affiliation
• Prime Healthcare Services - Sherman Oaks, LLC

  dba Sherman Oaks Hospital

  • General Acute Care Hospital
  • Sherman Oaks, CA
  • NPI 1750491247
  Care Compare affiliation
• Prime Healthcare Services Encino LLC

  dba Encino Hospital Medical Center

  • General Acute Care Hospital
  • Encino, CA
  • NPI 1437322377
  Care Compare affiliation

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1154029874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 N OXFORD AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042732",
            "telephone_number": "626-755-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SANTA MONICA BLVD STE 230",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012625",
            "telephone_number": "626-755-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVSEPYAN",
        "first_name": "SUSANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• OT 4 Kidz, Inc
• Madelyn Ott
• Maria Ellen Ottavi, MD
• Jennifer Claire Ottman, AMFT
• Erika Lynn Ouillette
• Gerald Jay Owen, M.F.T.
• Linda Owen, MFT
• Malikshabazz Owens
• Melodee Owens
• Russell Owens, MD

• Psychiatric/Mental Health Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.