Individual provider Active NPI

Takouhi Tina Mekharian, NP

  • Gerontology Nurse Practitioner
  • Sherman Oaks, CA
National Provider Identifier
1447082433
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95031635 Issued in CA
Practice address
4955 Van Nuys Blvd Ste 308
Sherman Oaks, CA 91403-1811
Phone
(818) 387-6114
NPI assigned
Aug 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95031635 CA Primary

Addresses

Primary practice location

4955 Van Nuys Blvd Ste 308
Sherman Oaks, CA 91403-1811

Mailing address

3656 Dellvale PL
Encino, CA 91436-4144
Phone (818) 618-4462

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
I20251107004345 CA Practitioner - Nurse Practitioner 2860982758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3630 E Imperial Hwy
Suite 55B
Lynwood, CA 90262-2609

3656 Dellvale PL
Encino, CA 91436-4144

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031635CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Health Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

3630 E Imperial Hwy
Ste 55B
Lynwood, CA 90262
Phone (310) 722-1108

3621 Martin Luther King Jr Blvd
Ste 6
Lynwood, CA 90262
Phone (310) 537-1503

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1447082433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 DELLVALE PL",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364144",
            "telephone_number": "818-618-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 308",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031811",
            "telephone_number": "818-387-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKHARIAN",
        "first_name": "TAKOUHI",
        "middle_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95031635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.