Syuzanna Petrosyan, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

708718 Issued in CA

Practice address

20742 Blackhawk St
Chatsworth, CA 91311-2407

Phone

(747) 999-8811

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Elite Comfort Home Health Care

  • Home Health Agency
  • Chatsworth, CA
  • NPI 1790367191
  NPD Authorized official
• La Nursing

  • Foster Care Agency
  • Chatsworth, CA
  • NPI 1770213316
  NPD Authorized official
• SS Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Chatsworth, CA
  • NPI 1720674989
  NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1326768573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20742 BLACKHAWK ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112407",
            "telephone_number": "747-999-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20742 BLACKHAWK ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112407",
            "telephone_number": "747-999-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSYAN",
        "first_name": "SYUZANNA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "708718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Joseph Perez
• Maria Ronna Rivera Perez, APRN, PMHNP-BC
• Rosa E Perez, B.A
• Zuleima Perez
• Persian-American Adult Day Health Care Center, Inc.
• Petrus Corp.
• Pham & Jan Dental Corporation
• Hayden Pham, DDS
• Pharmacist Holding Group
• Pharmacist Integrative Healthcare, Inc.

• Licensed Vocational Nurse in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.