Active NPI
Taylor Ermoian
- Social Worker
- Lake Balboa, CA
National Provider Identifier
1487564498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 122194
- Practice address
- 17000 Haynes St
Lake Balboa, CA 91406-5420 - Phone
- (818) 758-5200
- Fax
- (818) 450-0119
- NPI assigned
- Sep 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 122194 | CA | Primary |
Addresses
Primary practice location
17000 Haynes St
Lake Balboa, CA 91406-5420
Mailing address
5637 Strohm Ave Apt 8
North Hollywood, CA 91601-2214
Phone (785) 259-5124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1487564498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5637 STROHM AVE APT 8",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012214",
"telephone_number": "785-259-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 HAYNES ST",
"city": "LAKE BALBOA",
"state": "CA",
"postal_code": "914065420",
"telephone_number": "818-758-5200",
"fax_number": "818-450-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERMOIAN",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "122194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Balboa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.