Organization Active NPI

Aaa Comprehensive Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • North Hollywood, CA
National Provider Identifier
1396067500
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
550001275 Issued in CA
Legal business name
AAA COMPREHENSIVE HEALTHCARE INC
Practice address
11028 Victory Blvd Ste 201
North Hollywood, CA 91606-3720
Phone
(818) 503-9800
NPI assigned
Feb 16, 2010
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Andrew Cameron
Title
Cfo
Phone
(818) 503-9800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X 550001275 CA Primary

Addresses

Primary practice location

11028 Victory Blvd Ste 201
North Hollywood, CA 91606-3720

Mailing address

11028 Victory Blvd Ste 201
North Hollywood, CA 91606-3720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100823000661 CA Part B Supplier - Clinic/Group Practice 3375677644 Receives reassigned benefits from 4 practitioners
Practice locations: North Hollywood, CA
O20151007001699 CA Part A Provider - Federally Qualified Health Center (FQHC) 3375677644 Practice locations: North Hollywood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396067500. Details of each certification follow.

Federally qualified health center certification: CCN 751199

Legal name
AAA COMPREHENSIVE HEALTHCARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 23, 2015
Last certification
Sep 23, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 7, 2009 in CA
Enrollment address
7451 Lankershim Blvd
North Hollywood, CA 91605-2803

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

11028 Victory Blvd
#201
North Hollywood, CA 91606
Phone (818) 503-9800

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia Ponce Individual Corporate Director Mar 1, 2021
David Weg Individual Corporate Director May 1, 2020
Anna Nshanyan Individual Corporate OfficerCeo May 1, 2015 100%
NTL Services LLC Organization, Canoga Park, CA LLC Operational/Managerial Control May 1, 2015
Knarik Safaryan Individual W-2 Managing Employee May 1, 2015
Operational/Managerial Control May 1, 2015
Hayk Markosyan Individual Corporate Director Jan 1, 2020

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1396067500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11028 VICTORY BLVD STE 201",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11028 VICTORY BLVD STE 201",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063720",
            "telephone_number": "818-503-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA COMPREHENSIVE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-503-9800"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550001275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.