Individual provider Active NPI

Clodiya Taroian

  • Adult Health Nurse Practitioner
  • Montrose, CA
National Provider Identifier
1437598570
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
23057 Issued in CA
Practice address
2331 Montrose Avenue
1
Montrose, CA 91020
Phone
(818) 330-9139
NPI assigned
Jun 21, 2013
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 23057 CA
Adult Health Nurse Practitioner 363LA2200X 23057 CA Primary

Addresses

Primary practice location

2331 Montrose Avenue
1
Montrose, CA 91020

Mailing address

2331 Montrose Ave
Unit 1
Montrose, CA 91020-1478
Phone (818) 330-9139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23057CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Valley Home Health Care, Inc. CurrentSince May 15, 2010 Accepting new patients
Progress Home Health Inc PastSince Sep 2, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1437598570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 MONTROSE AVE",
            "address_2": "UNIT 1",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201478",
            "telephone_number": "818-330-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 MONTROSE AVENUE",
            "address_2": "1",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "91020",
            "telephone_number": "818-330-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAROIAN",
        "first_name": "CLODIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "23057",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "23057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

Verify at the official NPI Registry.