Individual provider Active NPI

Taline Bedelian

  • Family Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1396141008
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001638 Issued in CA
Practice address
24318 Hemlock Ave
Moreno Valley, CA 92557-7222
Phone
(951) 243-5050
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001638 CA Primary

Addresses

Primary practice location

24318 Hemlock Ave
Moreno Valley, CA 92557-7222

Mailing address

24318 Hemlock Ave
Moreno Valley, CA 92557-7222

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170329001625 CA Practitioner - Nurse Practitioner 4486967742 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95001638CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center CurrentSince Feb 1, 2024 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Sep 19, 2018 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Feb 1, 2024 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc. CurrentSince Sep 19, 2018 Accepting new patients
Apex Emergency Medical Group, Inc. CurrentSince Mar 5, 2017 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Apr 11, 2022 Accepting new patients

Locations

11499 Bartlett Ave
Adelanto, CA 92301
Phone (760) 444-4258

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

820 W Broadway St
Needles, CA 92363
Phone (730) 326-0222

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

16850 Bear Valley Rd
Ofc
Victorville, CA 92395

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Interoperability endpoints

  • Direct secure messaging: taline.bedelian.p1@direct.dvmg.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1396141008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24318 HEMLOCK AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24318 HEMLOCK AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577222",
            "telephone_number": "951-243-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDELIAN",
        "first_name": "TALINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.