Individual provider Active NPI

Nora Nazarian, PA-C

  • Surgical Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1215465257
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1700 E Cesar E Chavez Ave Ste 2200
Los Angeles, CA 90033-2476
Phone
(323) 264-7600
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X CA Primary

Addresses

Primary practice location

1700 E Cesar E Chavez Ave Ste 2200
Los Angeles, CA 90033-2476

Mailing address

1700 E Cesar E Chavez Ave Ste 2200
Los Angeles, CA 90033-2476

Other practice location 1

16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
Phone (818) 317-8408

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170913001569 CA Practitioner - Physician Assistant 6204109242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin J Pelton MD IncGroup PAC ID 3375625486, 38 clinicians

Practice addresses (Care Compare)

1700 E Cesar Chavez Ave
Suite 2200
Los Angeles, CA 90033-2476

1700 E Cesar E Chavez Ave
Suite 2200
Los Angeles, CA 90033-2476
Phone (323) 264-7600

18840 Ventura Blvd
Suite 204
Tarzana, CA 91356-6340
Phone (818) 708-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54504CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin J. Pelton MD, Inc. CurrentSince Nov 1, 2017 Accepting new patients
Kevin J Pelton MD Inc CurrentSince Nov 1, 2017 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Kevin J. Pelton MD, Inc. Past Accepting new patients

Locations

16530 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 317-8408

1700 E Cesar E Chavez Ave
Ste 2200
Los Angeles, CA 90033
Phone (323) 264-7600

23502 Lyons Ave
Ste 202A
Santa Clarita, CA 91321
Phone (661) 222-9030

18840 Ventura Blvd
#208
Tarzana, CA 91356

18840 Ventura Blvd
Ste 204
Tarzana, CA 91356
Phone (818) 708-3333

18810 Ventura Blvd 204
Tarzana, CA 91356

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215465257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332476",
            "telephone_number": "323-264-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16530 Ventura Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362006",
            "country_code": "US",
            "telephone_number": "818-317-8408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZARIAN",
        "first_name": "NORA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.