Lusine Panikyan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112369 Issued in CA

Practice address

10605 Balboa Blvd Ste 100
Granada Hills, CA 91344-6367

Phone

(818) 832-2400

Fax

(818) 775-4552

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1164962874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8138 MORSE AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051020",
            "telephone_number": "818-598-6900",
            "fax_number": "818-598-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 BALBOA BLVD STE 100",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446367",
            "telephone_number": "818-832-2400",
            "fax_number": "818-775-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANIKYAN",
        "first_name": "LUSINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Ryan Pak, PHARMD
• Therese Palad
• Emmanuel Palayan, PTA
• Danthea Mae Palmares, RPT
• Juan Luis Pandeli
• Mariam M Papazyan, PHARMD
• Violeta Papazyan, FNP
• Dong Keun Park, D.D.S
• Jin Park, DDS
• Richard Park, M.D.

• Clinical Social Worker in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.