Phantom Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHANTOM HEALTHCARE

Practice address

14545 Friar St Ste 377
Van Nuys, CA 91411-2397

Phone

(970) 550-0000

NPI assigned

Apr 20, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tigran Shahmuradyan

Title

Ceo

Phone

(970) 550-0000

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1366023301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 377",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 377",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "970-550-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHANTOM HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "SHAHMURADYAN",
        "authorized_official_first_name": "TIGRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-550-0000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loan Thi Phan, PHD
• Martin Phan
• Melanie Ngochan Phan, MD
• Phu-Phuc Phan, P.A.
• Sarah Nicole Phan
• Phantom Pharmaceutics
• Valdrex Philippe
• Katherine Rose Phillips Maurizi, M.A.
• David W Phillips Jr.
• Philomena O Oboh DDS a Professional Corporation

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.