Life Tree Community Health Center, Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

LIFE TREE COMMUNITY HEALTH CENTER, INC.

Practice address

13750 Victory Blvd
Van Nuys, CA 91401-2324

Phone

(818) 486-6600

NPI assigned

Dec 26, 2023

Last updated

Dec 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Hasmik Tovmasyan

Title

Ceo

Phone

(818) 486-6600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary P Jacobs, MD

  • Specialist
  • Westminster, CA
  • NPI 1073681623
  Medicare reassignment Care Compare group NPD
• Arman Ossia, M.D.

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1811151681
  Medicare reassignment Care Compare group
• Nijole Glaze, M.D.

  • Internal Medicine Physician
  • Lynwood, CA
  • NPI 1356414262
  Medicare reassignment NPD
• Tamila Mustafaeva, AGACNP - BC

  • Nurse Practitioner
  • Glendale, CA
  • NPI 1043059769
  Medicare reassignment NPD
• Rubina Shaheen, MD

  • General Practice Physician
  • Anaheim, CA
  • NPI 1215100490
  Medicare reassignment NPD
• Shi Tang

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1023695814
  Medicare reassignment NPD

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1386413888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012324",
            "telephone_number": "818-486-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012324",
            "telephone_number": "818-486-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TREE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "TOVMASYAN",
        "authorized_official_first_name": "HASMIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-486-6600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libra Medical Supply Inc
• Claire Lichtenwalter
• Dagmar I Liepa, MD
• Life Health Care Group, Inc.
• Life Roots Hospice Care, Inc
• Lifeline Hospice, Inc.
• Lifestar Home Health Inc
• Lifetime Care Hospice, Inc
• Lifetree Healthcare Inc
• Light Angel Hospice Inc.

• Community Health Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.