Individual provider Active NPI

Garegin Melkonyan, FNP-C

  • Family Nurse Practitioner
  • North Hollywood, CA
National Provider Identifier
1356039697
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023623 Issued in CA
Practice address
11513 Burbank Blvd
North Hollywood, CA 91601-2309
Phone
(747) 367-1041
Fax
(877) 569-2110
NPI assigned
Apr 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 95023623 CA Primary

Addresses

Primary practice location

11513 Burbank Blvd
North Hollywood, CA 91601-2309

Mailing address

11513 Burbank Blvd
North Hollywood, CA 91601-2309
Phone (747) 367-1041

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
I20250415002887 CA Practitioner - Nurse Practitioner 1153845979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Sunland, CA 91040
Phone (747) 367-1041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95038056CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth M. Rice, M.D., P.C. Current Accepting new patients
Kenneth M. Rice, M.D., P.C. Current Accepting new patients
Health Force One - Nursing PC Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients

Locations

11513 Burbank Blvd
North Hollywood, CA 91601
Phone (747) 367-1041

9918 Sunland Blvd
#38
Sunland, CA 91040
Phone (747) 367-1041

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHBHDD/Endpoint/HHBHDD

Organizations & group practices 3

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": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1356039697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11513 BURBANK BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012309",
            "telephone_number": "747-367-1041",
            "fax_number": "877-569-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11513 BURBANK BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012309",
            "telephone_number": "747-367-1041",
            "fax_number": "877-569-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELKONYAN",
        "first_name": "GAREGIN",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.