Individual provider Active NPI

Lusine Pashikyan

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1407550759
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022156 Issued in CA
Practice address
2051 Marengo St
Los Angeles, CA 90033-1352
Phone
(323) 409-1000
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 95022156 CA Primary

Addresses

Primary practice location

2051 Marengo St
Los Angeles, CA 90033-1352

Mailing address

145 N Sparks St
Burbank, CA 91506-2143
Phone (559) 417-3460

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
I20241216001020 CA Practitioner - Nurse Practitioner 3577099415 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95022156CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allmed of Los Angeles, Inc CurrentSince Mar 7, 2025 Accepting new patients
Los Angeles Clinica Medica General Medical Center, Inc. CurrentSince Oct 13, 2024 Accepting new patients
El Monte Clinica Medica General Medical Center, Inc CurrentSince Oct 13, 2024 Accepting new patients
Allmed of Los Angeles, Inc CurrentSince Mar 7, 2025 Accepting new patients

Locations

11001 Main St
Ste 301E
El Monte, CA 91731
Phone (626) 443-4300

11001 Main St
Fl 3
El Monte, CA 91731

11001 Main St
Ste 301
El Monte, CA 91731
Phone (626) 443-4300

2208 W 7th St
Los Angeles, CA 90057
Phone (213) 384-3434

672 S Carondelet St
Los Angeles, CA 90057
Phone (213) 384-3434

7400 Pacific Blvd
Walnut Park, CA 90255
Phone (323) 538-9050

7400 Pacific Blvd
Ste Ab
Walnut Park, CA 90255
Phone (323) 538-9050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pashikyan.lusine.013.0050931@cmg.meditab.direct-ci.com

Organizations & group practices 4

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": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1407550759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N SPARKS ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062143",
            "telephone_number": "559-417-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331352",
            "telephone_number": "323-409-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASHIKYAN",
        "first_name": "LUSINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.