Active NPI
Marine Khachatryan
- Hospice Registered Nurse
- Los Angeles, CA
National Provider Identifier
1194347807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice Registered Nurse
- License
- NA
- Practice address
- 5300 Santa Monica Blvd Ste 311
Los Angeles, CA 90029-1259 - Phone
- (323) 715-0771
- Fax
- (323) 460-6000
- NPI assigned
- May 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | NA | CA | Primary |
Addresses
Primary practice location
5300 Santa Monica Blvd Ste 311
Los Angeles, CA 90029-1259
Mailing address
1406 N Kenmore Ave
Los Angeles, CA 90027-5827
Phone (323) 552-3300
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latopcare Hospice | Current | Accepting new patients |
Locations
5300 Santa Monica Blvd
Ste 311
Los Angeles, CA 90029
Phone (323) 715-0771
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- North Hollywood, CA
- NPI 1720600430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1194347807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 N KENMORE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275827",
"telephone_number": "323-552-3300",
"fax_number": "323-460-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 SANTA MONICA BLVD STE 311",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291259",
"telephone_number": "323-715-0771",
"fax_number": "323-460-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHACHATRYAN",
"first_name": "MARINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-15",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "CA",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.