Rayan Demikhovskiy, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95033107 Issued in CA

Practice address

8727 Van Nuys Blvd Ste 101
Panorama City, CA 91402-2463

Phone

(818) 899-5555

Fax

(818) 899-5969

NPI assigned

Oct 2, 2024

Last updated

Jan 17, 2025By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Family Health and Education Inc

  • Federally Qualified Health Center (FQHC)
  • Panorama City, CA
  • NPI 1871853481
  NPD (past)

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1356169817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 VAN NUYS BLVD STE 101",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022463",
            "telephone_number": "818-614-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 VAN NUYS BLVD STE 101",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022463",
            "telephone_number": "818-899-5555",
            "fax_number": "818-899-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIKHOVSKIY",
        "first_name": "RAYAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Erick Deiongh, DO
• Sandra W. Deirmenjian, DDS
• Nelia Florin Del Barrio, REGISTERED NURSE
• Tirso Del Junco Jr., MD
• Manuel Antonio Deleon, DDS
• Dental Center of San Miguel
• Dental Office of Harouni and Elgrichi (Dream Team Dental)
• Dental Wonderland
• Dentalville
• Dentist on Call Office of Dr. Christline S. Robles Dental Corp.

• Family Nurse Practitioner in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.