Active NPI
Hayk Dovlatyan
- Nurse Practitioner
- Pomona, CA
National Provider Identifier
1275400467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95036180
- Practice address
- 1984 Indian Hill Blvd
Pomona, CA 91767-3620 - Phone
- (909) 447-2323
- NPI assigned
- Oct 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95036180 | CA | Primary |
Addresses
Primary practice location
1984 Indian Hill Blvd
Pomona, CA 91767-3620
Mailing address
1984 Indian Hill Blvd
Pomona, CA 91767-3620
Phone (909) 447-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1984 Indian Hill Blvd
Pomona, CA 91767-3620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- hayk.dovlatyan.1@26559.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1275400467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1984 INDIAN HILL BLVD",
"city": "POMONA",
"state": "CA",
"postal_code": "917673620",
"telephone_number": "909-447-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1984 INDIAN HILL BLVD",
"city": "POMONA",
"state": "CA",
"postal_code": "917673620",
"telephone_number": "909-447-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVLATYAN",
"first_name": "HAYK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-21",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95036180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.