Emanouel Khodadadi, MSN-FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95032782 Issued in CA

Practice address

1818 Verdugo Blvd Ste 401
Glendale, CA 91208-1421

Phone

(818) 790-1145

Fax

(818) 790-6387

NPI assigned

Apr 7, 2025

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of Southern California Keck School of Medicine, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wound Care RX

  • Clinic/Center
  • Chatsworth, CA
  • NPI 1871481168
  Medicare reassignment NPD

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1477347193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 401",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081421",
            "telephone_number": "818-790-1145",
            "fax_number": "818-790-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 401",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081421",
            "telephone_number": "818-790-1145",
            "fax_number": "818-790-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODADADI",
        "first_name": "EMANOUEL",
        "credential": "MSN-FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95032782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siranush Vanessa Khdryan, PA-C
• Monica Khechumian, PT, DPT, MPH, CSCS
• Stepan Khechumyan
• Khemichian MD, Inc
• Leakana Kheng, PHARMD
• Vanessa Khodagholian
• Andrew Khodaverdian, PHARMD
• Njdeh Khodaverdian, D.D.S.
• Khodaverdian,Khachatoorian,DDS,Inc
• Nathaniel Jordan Khoe

• Family Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.