Individual provider Active NPI

Christine Galadzhyan, NP

  • Family Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1346997665
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019419 Issued in CA
Practice address
5651 Sepulveda Blvd Ste 102
Van Nuys, CA 91411-2954
Phone
(818) 281-3366
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 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 95019419 CA Primary

Addresses

Primary practice location

5651 Sepulveda Blvd Ste 102
Van Nuys, CA 91411-2954

Mailing address

12324 El Oro Way
Granada Hills, CA 91344-1611
Phone (818) 281-1336

Other practice location 1

21800 Devonshire St # B
Chatsworth, CA 91311-2905
Phone (818) 281-1336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95019419CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Finecare Hospice Current Accepting new patients

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": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1346997665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12324 EL ORO WAY",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441611",
            "telephone_number": "818-281-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD STE 102",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112954",
            "telephone_number": "818-281-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21800 Devonshire St # B",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913112905",
            "country_code": "US",
            "telephone_number": "818-281-1336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALADZHYAN",
        "first_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.