Individual provider Active NPI

Seda Markosyan, FNP

  • Family Nurse Practitioner
  • Encino, CA
National Provider Identifier
1326636341
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016332 Issued in CA
Practice address
16133 Ventura Blvd Ste 415
Encino, CA 91436-2429
Phone
(818) 804-5177
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 95016332 CA Primary

Addresses

Primary practice location

16133 Ventura Blvd Ste 415
Encino, CA 91436-2429

Mailing address

9707 Via Roma
Burbank, CA 91504-1130
Phone (818) 468-2737

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
I20210826002256 CA Practitioner - Nurse Practitioner 8426453531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vip Nephrology IncGroup PAC ID 1153429402, 8 clinicians

Practice addresses (Care Compare)

18040 Sherman Way
Suite 210
Reseda, CA 91335-4656
Phone (424) 421-6001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Solutions, a Medical Corporation Single Specialty CurrentSince Mar 22, 2022 Accepting new patients
Vip Nephrology Inc Single Specialty CurrentSince Mar 22, 2022 Accepting new patients

Locations

16133 Ventura Blvd
Ste 415
Encino, CA 91436
Phone (818) 506-3384

18040 Sherman Way
Ste 210
Reseda, CA 91335
Phone (424) 421-6001

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1326636341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 VIA ROMA",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915041130",
            "telephone_number": "818-468-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD STE 415",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362429",
            "telephone_number": "818-804-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOSYAN",
        "first_name": "SEDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.