Individual provider Active NPI

Kristina Hagopian, WHNP-BC, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1174999015
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
95002951 Issued in CA
Practice address
8920 Wilshire Blvd Ste 525
Beverly Hills, CA 90211-1968
Phone
(310) 657-1600
NPI assigned
Aug 14, 2015
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 95002951 CA Primary
Advanced Practice Midwife 367A00000X 235748 CA

Addresses

Primary practice location

8920 Wilshire Blvd Ste 525
Beverly Hills, CA 90211-1968

Mailing address

8920 Wilshire Blvd Ste 515
Beverly Hills, CA 90211-1949

Other practice location 1

26800 Crown Valley Pkwy Ste 525
Mission Viejo, CA 92691-8029
Phone (949) 364-1040

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)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95002951CAMDObstetrics & Gynecology Nurse Practitioner
235748CAMDAdvanced Practice Midwife

Interoperability endpoints

  • Direct secure messaging: kristina.hagopian.1@10944.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1174999015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 515",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 525",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111968",
            "telephone_number": "310-657-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26800 Crown Valley Pkwy Ste 525",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926918029",
            "country_code": "US",
            "telephone_number": "949-364-1040",
            "fax_number": "949-365-7037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGOPIAN",
        "first_name": "KRISTINA",
        "credential": "WHNP-BC, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "95002951",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "235748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.