Individual provider Active NPI

Gregory Christopher Stavaridis, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sherman Oaks, CA
National Provider Identifier
1275050437
Registry record updated Feb 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95006943 Issued in CA
Practice address
15260 Ventura Blvd Ste 1200
Sherman Oaks, CA 91403-5347
Phone
(310) 871-0670
NPI assigned
Aug 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 116595-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95006943 CA Primary

Addresses

Primary practice location

15260 Ventura Blvd Ste 1200
Sherman Oaks, CA 91403-5347

Mailing address

44 McKay Dr Apt 402
Exeter, NH 03833-1588
Phone (603) 580-4843

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
I20250724004236 CA Practitioner - Nurse Practitioner 6901313980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Medi Psych Services IncGroup PAC ID 3870908320, 17 clinicians

Practice addresses (Care Compare)

15260 Ventura Blvd
Suite 1200
Sherman Oaks, CA 91403-5347
Phone (310) 879-1097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95006943CAMDPsychiatric/Mental Health Nurse Practitioner
116595-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Psych Services Inc CurrentSince May 11, 2025 Accepting new patients

Locations

1601 Pacific Coast Hwy
Ste 255
Hermosa Beach, CA 90254

801 S Grand Ave
Ste 475
Los Angeles, CA 90017
Phone (310) 871-0670

15260 Ventura Blvd
Ste 1200
Sherman Oaks, CA 91403
Phone (310) 871-0670

Organizations & group practices 1

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769904000000",
    "number": "1275050437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCKAY DR APT 402",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038331588",
            "telephone_number": "603-580-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 VENTURA BLVD STE 1200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035347",
            "telephone_number": "310-871-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVARIDIS",
        "first_name": "GREGORY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2026-02-01",
        "certification_date": "2026-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "116595-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95006943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.