Individual provider Active NPI

Peppina Joy Yegoyan

  • Contractor
  • Encino, CA
National Provider Identifier
1417722786
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
16030 Ventura Blvd Ste 110
Encino, CA 91436-2775
Phone
(747) 224-2227
Fax
(818) 471-4001
NPI assigned
Nov 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

16030 Ventura Blvd Ste 110
Encino, CA 91436-2775

Mailing address

16030 Ventura Blvd Ste 110
Encino, CA 91436-2775
Phone (747) 224-2227

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Dialysis, LLC CurrentSince Nov 19, 2023 Accepting new patients
Lifeline Dialysis Center LLC Current Accepting new patients
Lifeline Dialysis South Gate LLC Current Accepting new patients
Synergy Dialysis, LLC PastSince Nov 19, 2023 Accepting new patients

Locations

16030 Ventura Blvd
Ste 110
Encino, CA 91436
Phone (747) 224-2227

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": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1417722786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD STE 110",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362775",
            "telephone_number": "747-224-2227",
            "fax_number": "818-471-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD STE 110",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362775",
            "telephone_number": "747-224-2227",
            "fax_number": "818-471-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGOYAN",
        "first_name": "PEPPINA JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.