Active NPI
Aileen Ambartsumyan, FNP
- Family Nurse Practitioner
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027985
- Practice address
- 519 E Broadway
Glendale, CA 91205-1110 - Phone
- (818) 409-3020
- NPI assigned
- Jul 19, 2023
- Last updated
- Nov 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95027985 | CA | Primary |
| Registered Nurse | 163W00000X | 95169219 | CA |
Addresses
Primary practice location
519 E Broadway
Glendale, CA 91205-1110
Mailing address
1401 Valley View Rd Apt 109
Glendale, CA 91202-4408
Phone (818) 275-7755
Other practice location 1
1401 Valley View Rd Apt 109
Glendale, CA 91202-4408
Phone (818) 275-7755
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
519 E Broadway
Glendale, CA 91205-1110
Phone (818) 409-3020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Health Health for All Inc | Current | Accepting new patients | |
| All for Health Health for All Inc | Current | Accepting new patients | |
| All for Health Health for All Inc | Current | Accepting new patients | |
| Health Is Wealth Home Care Services Inc | Current | Accepting new patients |
Locations
519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- aileen.ambartsumyannp.p1@direct.afh.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Health Is Wealth Home Care Services Inc | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) Corporate Director (100%) W-2 Managing Employee (100%) |
Jul 9, 2021 Jul 9, 2021 Jul 9, 2021 Jul 9, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Los Angeles, CA
- NPI 1821661075
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Glendale, CA
- NPI 1568567220
-
- Home Health Agency
- Los Angeles, CA
- NPI 1821661075
-
- Federally Qualified Health Center (FQHC)
- Montrose, CA
- NPI 1760900922
-
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
- NPI 1023799285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1194405787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 VALLEY VIEW RD APT 109",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912024408",
"telephone_number": "818-275-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 E BROADWAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051110",
"telephone_number": "818-409-3020"
}
],
"practiceLocations": [
{
"address_1": "1401 Valley View Rd Apt 109",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912024408",
"country_code": "US",
"telephone_number": "818-275-7755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMBARTSUMYAN",
"first_name": "AILEEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95027985",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95169219",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.