Cecilia B Euredjian, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

17728 Issued in CA

Practice address

10515 Balboa Blvd Ste 390
Granada Hills, CA 91344-6373

Phone

(818) 366-8112

Fax

(818) 366-6002

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Cecilia B Euredjian Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Jacob Offenberger, MD

  • Allergy & Immunology Physician
  • Granada Hills, CA
  • NPI 1033121249
  Medicare reassignment
• Jacob Offenberger MD Inc

  • Pediatric Allergy/Immunology Physician
  • Granada Hills, CA
  • NPI 1225015233
  NPD (past)
• Rivera Sanatarium Inc

  • Skilled Nursing Facility
  • Pico Rivera, CA
  • NPI 1861580029
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1164515086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28511 OAK VALLEY RD",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913843059",
            "telephone_number": "661-775-4875",
            "fax_number": "661-775-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 390",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446373",
            "telephone_number": "818-366-8112",
            "fax_number": "818-366-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUREDJIAN",
        "first_name": "CECILIA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC27427",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "17728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILIA",
            "last_name": "EUREDJIAN",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ken Eng, RPH
• Eric W Leser OD a Professional Corporation
• Mary Eve Adeline Torres Escoto, PT
• Essential Hospice Inc.
• Essential Medical Center
• Eva Medical Clinic
• Janise Evangelista
• Evelyn Jankowski MD Inc
• Evidence-Based Healthcare Inc
• Excel Speech and Language, Inc

• Physician Assistant in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.