Karine Setyan

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95021144 Issued in CA

Practice address

17075 Devonshire St
Northridge, CA 91325-1600

Phone

(818) 368-8572

NPI assigned

Jun 2, 2022

Sex

Female

Sole proprietor

Yes

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.

• Ehab Yacoub MD Inc.

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713

  CA

  Medicare reassignment Care Compare group NPD
• Fawzy Basta M D a Professional Corporation

  • Psychiatry Physician
  • Northridge, CA
  • NPI 1508932500

  CA

  Medicare reassignment Care Compare group NPD
• Mission City Community Network, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, CA
  • NPI 1710102009

  CA

  Medicare reassignment Care Compare group NPD
• Mission City Community Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Victorville, CA
  • NPI 1265708994
  Care Compare group NPD
• Mission City Community Network, Inc.

  • Community Health Clinic/Center
  • North Hills, CA
  • NPI 1710370747
  Care Compare group NPD
• Mission City Community Network Inc

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1407500374
  Care Compare group
• Mission City Community Network Inc

  • Community Health Clinic/Center
  • Barstow, CA
  • NPI 1932770716
  Care Compare group
• Mission City Community Network Inc.

  • Federally Qualified Health Center (FQHC)
  • Victorville, CA
  • NPI 1518402502
  Care Compare group
• Mission City Community Network Inc.

  • Community Health Clinic/Center
  • Glendale, CA
  • NPI 1639878143
  Care Compare group
• Mission City Community Network, Inc

  • Primary Care Clinic/Center
  • Inglewood, CA
  • NPI 1346525912
  Care Compare group
• Mission City Community Network, Inc

  • Community Health Clinic/Center
  • Corona, CA
  • NPI 1366010209
  Care Compare group
• Mission City Community Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • North Hills, CA
  • NPI 1043593304
  Care Compare group

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ehab Yacoub MD Inc 179 clinicians

Fawzy Basta M D a Professional Corporation 4 clinicians

Mission City Community Network, Inc. 13 clinicians

Practice addresses (Care Compare)

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2023.

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1194464693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17221 ROSCOE BLVD UNIT 4",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254031",
            "telephone_number": "818-731-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251600",
            "telephone_number": "818-368-8572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 W 190th St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902484305",
            "country_code": "US",
            "telephone_number": "310-515-8113",
            "fax_number": "310-538-2102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETYAN",
        "first_name": "KARINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95144166",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergey Sergeyevich Progushev MD Inc
• Sergey Tatulyan DDS, Inc.
• Mark Joseph Sergi, PH.D.
• Elmer J Serquina
• Bridget Serrato
• Tonya Jenkins Sevilla, CCC-SLP
• Patricia Jean Seymour, PH.D., SLP
• Aral M Sezginis, MD
• SFV LLC
• SH Northridge Ca Opco LLC

• All providers in Northridge, CA
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.