Yeranuhi Yera Hambardzumyan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95028603 Issued in CA

Practice address

2667 N Moorpark Rd Ste 203
Thousand Oaks, CA 91360-3011

Phone

(805) 241-4411

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ruby Hearts Healthcare Home health agency, Tarzana, CA, CCN 757719

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Authentic Home Health Care, Inc.

  • Home Health Agency
  • Thousand Oaks, CA
  • NPI 1043773039

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Authentic Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Thousand Oaks, CA
  • NPI 1750857975

  W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Alliance Medical Group, Inc

  • Primary Care Nurse Practitioner
  • Glendale, CA
  • NPI 1629534045
  Medicare reassignment NPD
• Intel Medical Group Inc

  • Primary Care Nurse Practitioner
  • Woodland Hills, CA
  • NPI 1407368236
  Medicare reassignment NPD
• Authentic Home Health Care, Inc.

  • Home Health Agency
  • Thousand Oaks, CA
  • NPI 1043773039
  NPD
• Unimed Corporation

  dba caremax Home health

  • Home Health Agency
  • Woodland Hills, CA
  • NPI 1588072110
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ruby Hearts Healthcare

  • Home Health Agency
  • Tarzana, CA
  • NPI 1427717313
  Care Compare affiliation

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1295565562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17823 SIMONDS ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443310",
            "telephone_number": "818-935-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 N MOORPARK RD STE 203",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603011",
            "telephone_number": "805-241-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBARDZUMYAN",
        "first_name": "YERANUHI",
        "middle_name": "YERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028603",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95212170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jawad Haider, MD
• Nilofar Natalie Hajian, PHARMD, MBA
• Joelle Jean Hajj
• Hal M. Weitzbuch, M.D. Medical Corporation
• Kelly Rutherford S. Hall, PA-C
• Kaydee Elizabeth Hamer
• John S Hamilton, R.N.
• Stacy Jo Hamlet, O.D.
• Aimee L Hammond, RD
• Hanger Prosthetics & Orthotics West, Inc. (Hanger Clinic)

• Family Nurse Practitioner in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.