Gohar Baghumyan

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95028347 Issued in CA

Practice address

18740 Ventura Blvd Ste 102
Tarzana, CA 91356-6353

Phone

(818) 708-7668

NPI assigned

Jan 2, 2024

Sex

Female

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Home Foot Care IncGroup PAC ID 4981744257, 25 clinicians

Coast to Coast Foot DoctorsGroup PAC ID 3072971100, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Coast to Coast Foot Doctors

  • Podiatrist
  • Tarzana, CA
  • NPI 1558064246

  CA

  Medicare reassignment Care Compare group NPD
• Home Foot Care, Inc.

  • Podiatrist
  • Van Nuys, CA
  • NPI 1447480785

  CA

  Medicare reassignment Care Compare group NPD
• Optimum Wound Care Inc

  • Surgery Physician
  • Woodland Hills, CA
  • NPI 1578217451

  CA

  Medicare reassignment NPD
• Michael D. Kotzen, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Valley Village, CA
  • NPI 1013105972
  NPD

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1366211369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566353",
            "telephone_number": "818-708-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566353",
            "telephone_number": "818-708-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHUMYAN",
        "first_name": "GOHAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95028347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Miramontes Baca, M.D.
• Kenneth Mark Bachrach, PH.D.
• James Benjamin Bacon
• Sarah Badreau
• Jacqueline Nicole Baeza
• Elizabeth Bailey, RN, LMFT
• Raymond Paul Bailey, MD
• Bak Dental Group Inc
• Neema Bak, DDS, MS, PHD
• Ioannnis Bakaes

• All providers in Tarzana, CA
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.