Anna Khudaverdyan

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95030993 Issued in CA

Practice address

12626 Riverside Dr Ste 306
Valley Village, CA 91607-3477

Phone

(818) 409-0060

NPI assigned

Oct 1, 2024

Sex

Female

Sole proprietor

No

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

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25127/brand/1/csg/1/fhir/r4
• Direct secure messaging: anna.khudaverdyan.1@25127.direct.athenahealth.com

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.

• Greater la Pain Specialists Inc

  • Pain Medicine (Anesthesiology) Physician
  • Valley Village, CA
  • NPI 1225791171
  NPD

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1346068095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 306",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073477",
            "telephone_number": "747-277-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 306",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073477",
            "telephone_number": "818-409-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4864 Santa Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900292634",
            "country_code": "US",
            "telephone_number": "323-660-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13309 Van Nuys Blvd",
            "address_purpose": "LOCATION",
            "city": "Pacoima",
            "state": "CA",
            "postal_code": "913313006",
            "country_code": "US",
            "telephone_number": "818-476-4727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHUDAVERDYAN",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95030993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kass Medical Holdings Inc
• Alexsandra Kaykov, D.C.
• Sona Kazazian, D.D.S.
• Sheri D. Keller, LMFT
• KGV Easy Leasing Corp
• Kimia Faghihi, D.C., a Chiropractic Corporation
• Kind Hands Home Health Inc
• Kind Hands Inc.
• Kindred Health Services, Inc.
• Nakia Michelle King

• Acute Care Nurse Practitioner in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.