Individual provider Active NPI

Sherry Aghakhanian, FNP-C

  • Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1295438240
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
35015829 Issued in CA
Practice address
1141 N Brand Blvd Ste 400
Glendale, CA 91202-2583
Phone
(818) 247-9717
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 35015829 CA Primary

Addresses

Primary practice location

1141 N Brand Blvd Ste 400
Glendale, CA 91202-2583

Mailing address

1464 Royal Blvd
Glendale, CA 91207-1270
Phone (818) 632-7743

Other practice location 1

1464 Royal Blvd
Glendale, CA 91207-1270
Phone (818) 632-7743

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
35015829CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Medical Business Management Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sherry.aghakhanian.1@15679.direct.athenahealth.com

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1295438240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 ROYAL BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071270",
            "telephone_number": "818-632-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD STE 400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022583",
            "telephone_number": "818-247-9717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1464 Royal Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912071270",
            "country_code": "US",
            "telephone_number": "818-632-7743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGHAKHANIAN",
        "first_name": "SHERRY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "35015829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.