Annie Tarverdian, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95021082 Issued in CA

Practice address

1301 20TH Street Suite 80
Suite 205
Santa Monica, CA 90404

Phone

(310) 998-0060

Fax

(818) 360-3533

NPI assigned

Sep 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1235850140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4643",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912220643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH STREET SUITE 80",
            "address_2": "SUITE 205",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-998-0060",
            "fax_number": "818-360-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVERDIAN",
        "first_name": "ANNIE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95021082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milton Mitsuyoshi Tari, O.D.
• Gerald Tarlow, PH.D.
• Nan Helene Tarlow, PH.D.
• Pamela Tarlow, PHARMD
• Derjung Tarn
• Tom C Tatasciore, DC QME
• Danielle Taubman, MD
• Deanna Tavakoly
• David Mark Tavlin, M.A.
• Richard Llwellyn Taw Jr., M.D.

• Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.