Active NPI
Vahe Ovsepyan, NP
- Acute Care Nurse Practitioner
- Sherman Oaks, CA
National Provider Identifier
1356068878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95022468
- Practice address
- 13619 Moorpark St
Sherman Oaks, CA 91423-5002 - Phone
- (818) 290-3938
- NPI assigned
- Oct 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 95022468 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | 95022468 | CA | Primary |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 95022468 | CA |
Addresses
Primary practice location
13619 Moorpark St
Sherman Oaks, CA 91423-5002
Mailing address
1344 Raymond Ave
Glendale, CA 91201-1440
Phone (818) 644-0502
Other practice location 1
11696 Ventura Blvd
Studio City, CA 91604-2613
Phone (818) 644-0502
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95022468 | CA | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1356068878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1344 RAYMOND AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011440",
"telephone_number": "818-644-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13619 MOORPARK ST",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914235002",
"telephone_number": "818-290-3938"
}
],
"practiceLocations": [
{
"address_1": "11696 Ventura Blvd",
"address_purpose": "LOCATION",
"city": "Studio City",
"state": "CA",
"postal_code": "916042613",
"country_code": "US",
"telephone_number": "818-644-0502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OVSEPYAN",
"first_name": "VAHE",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "95022468",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95022468",
"primary": true
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "95022468",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.