Individual provider Active NPI

Tereza Elen Nersesian, PHARMD

  • Pharmacist
  • San Fernando, CA
National Provider Identifier
1245921915
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
87403 Issued in CA
Practice address
11273 Laurel Canyon Blvd Ste 4
San Fernando, CA 91340-4359
Phone
(818) 638-9652
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 87403 CA Primary

Addresses

Primary practice location

11273 Laurel Canyon Blvd Ste 4
San Fernando, CA 91340-4359

Mailing address

3008 Piedmont Ave
La Crescenta, CA 91214-3720
Phone (818) 406-6080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1245921915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 PIEDMONT AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143720",
            "telephone_number": "818-406-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11273 LAUREL CANYON BLVD STE 4",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404359",
            "telephone_number": "818-638-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERSESIAN",
        "first_name": "TEREZA",
        "middle_name": "ELEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "87403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.