Mobile Palliative Care, Inc.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

630977 Issued in CA

Legal business name

MOBILE PALLIATIVE CARE, INC.

Practice address

18302 Sierra Hwy Ste 103
Canyon Country, CA 91351-6126

Phone

(818) 219-1443

Fax

(661) 424-9672

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Dina Agazaryan, FNP-BC

Title

Presedent/Ceo

Phone

(818) 335-4443

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1164896957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18302 SIERRA HWY STE 103",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913516126",
            "telephone_number": "818-219-1443",
            "fax_number": "661-424-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18302 SIERRA HWY STE 103",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913516126",
            "telephone_number": "818-219-1443",
            "fax_number": "661-424-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "AGAZARYAN",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "PRESEDENT/CEO",
        "authorized_official_telephone_number": "818-335-4443",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": "CA",
            "license": "630977",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "6309977",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "CA",
            "license": "630977",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "630977",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "630977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MB Primary Health Caregiver Services, LLC
• Jartu Mariam McConnell, R.N.P.
• Nancy Jane McPeters, LMT
• Saul F Meza Rodriguez
• Yicel Meza
• Ashley Montes de Oca
• Jennifer Moody
• Kenji Morimitsu
• Shoji Morita, O.D.
• Sarah Morris

• Nurse Practitioner in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.