Individual provider Active NPI

Edita Ghazaryan, NP

  • Family Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1407628027
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95234895 Issued in CA
Practice address
120 S Spalding Dr Ste 233
Beverly Hills, CA 90212-1840
Phone
(310) 888-8862
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 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 95234895 CA Primary

Addresses

Primary practice location

120 S Spalding Dr Ste 233
Beverly Hills, CA 90212-1840

Mailing address

120 S Spalding Dr Ste 233
Beverly Hills, CA 90212-1840
Phone (310) 888-8862

Other names 1

  • Edita Hakobyan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95234895CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andre Aboolian M D a Professional Medical Corporation PastSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

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": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1407628027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 233",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121840",
            "telephone_number": "310-888-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 233",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121840",
            "telephone_number": "310-888-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZARYAN",
        "first_name": "EDITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95234895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITA",
            "last_name": "HAKOBYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.