Artin Alexandrian
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Glendora, CA
NPI 1417443136 · NPPES record last updated Mar 26, 2025
Key facts
- NPI
- 1417443136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 95009349 (CA)
- Practice address
- 510 S Grand Ave Ste 400
Glendora, CA 91741-4207 - Phone
- (818) 279-4058
- NPI assigned
- Jul 5, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Holistic Healthcare Services
Practice addresses (Care Compare)
5901 W Olympic Blvd
Suite 404
Los Angeles, CA 90036-4669
Phone (818) 279-4058
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.19 of 100
- Quality
- 53.33
- Improvement activities
- 40
- Cost
- 52.84
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181206003225 | CA | Practitioner - Nurse Practitioner | 9335483031 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95009349 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Gillespie and Associates Inc. | Current |
Accepting new patients | |
| Holistic Healthcare Services | Current |
Accepting new patients | |
| Culver City Psychological Associates, Inc. | Past | Accepting new patients |
Locations
510 S Grand Ave
Ste 200
Glendora, CA 91741
Phone (626) 914-1980
5901 W Olympic Blvd
Ste 404
Los Angeles, CA 90036
Phone (323) 928-9999
1626 Montana Ave
Ste 645
Santa Monica, CA 90403
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95009349 | CA | Yes |
Addresses
Primary practice location
510 S Grand Ave Ste 400
Glendora, CA 91741-4207
Mailing address
510 S Grand Ave Ste 400
Glendora, CA 91741-4207
Phone (626) 914-1980
Other providers in Glendora, CA
- Tarek Alameddine
- Gabriel Joey Alaniz
- Albertsons LLC
- Michael Ronald Santiago Alcantara
- Anilga Alexandri
- Gesmar Alfaro Ramirez
- Joaquin Alfaro
- Alfonso P Miguel Jr MD Inc
- Patrick Joseph S Alix
- Salima Allahbachayo
All providers in Glendora, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.