Individual provider Active NPI

Cristin Pilavian

  • Family Nurse Practitioner
  • Monterey Park, CA
National Provider Identifier
1295486835
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95018915 Issued in CA
Practice address
880 S Atlantic Blvd Ste 101
Monterey Park, CA 91754-4772
Phone
(626) 284-1350
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95018915 CA Primary

Addresses

Primary practice location

880 S Atlantic Blvd Ste 101
Monterey Park, CA 91754-4772

Mailing address

1505 N Fairview St
Burbank, CA 91505-1657

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
I20220328001315 CA Practitioner - Nurse Practitioner 0446645592 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95018915CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salman Khan, a Medical Corporation CurrentSince Oct 8, 2023 Accepting new patients

Locations

1701 E Cesar E Chavez Ave
Ste 306
Los Angeles, CA 90033
Phone (323) 225-2550

14624 Sherman Way
Ste 406
Van Nuys, CA 91405
Phone (818) 988-5999

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1295486835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N FAIRVIEW ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S ATLANTIC BLVD STE 101",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544772",
            "telephone_number": "626-284-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILAVIAN",
        "first_name": "CRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95018915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.