Susan Harout Maadanian, CNM, NP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

NMW235676 Issued in CA

Practice address

19476 Pauma Valley Dr
Porter Ranch, CA 91326-1704

Phone

(818) 324-1227

NPI assigned

Sep 22, 2014

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• First Choice Woman's Clinic, a Professional Nursing Corporation

  dba FCWC

  • Obstetrics & Gynecology Physician
  • Panorama City, CA
  • NPI 1699204552
  Authorized official Same address or phone
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Lancaster, CA
  • NPI 1982863783
  NPD

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1225430242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19476 PAUMA VALLEY DR",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913261704",
            "telephone_number": "818-324-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19476 PAUMA VALLEY DR",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913261704",
            "telephone_number": "818-324-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAADANIAN",
        "first_name": "SUSAN",
        "middle_name": "HAROUT",
        "name_prefix": "Mrs.",
        "credential": "CNM, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW235676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Llach, M.F.T.
• Brandan Lombardo, PHARM.D.
• Longs Drug Stores California LLC (CVS Pharmacy #09533)
• Bryant Lopez, PMHNP-BC
• Abeer Lutfi, RD
• Jelena Maletkovic
• Suparna Malhotra
• Lilit Dalida Malumyan, NP
• Masha Grigorievna Markosyan, MSN-FNP
• Philip Marks, FNP-C

• Advanced Practice Midwife in Porter Ranch, CA
• Providers in Porter Ranch, CA by specialty
• Advanced Practice Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.