Active NPI
Lusine Apikyan, N.P.
- Adult Health Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 95000010
- Practice address
- 4618 Fountain Ave
Los Angeles, CA 90029-1977 - Phone
- (323) 953-7170
- NPI assigned
- Jan 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95000010 | CA | Primary |
Addresses
Primary practice location
4618 Fountain Ave
Los Angeles, CA 90029-1977
Mailing address
4618 Fountain Ave
Los Angeles, CA 90029-1977
Phone (323) 953-7170
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
124 S Glendale Ave
Glendale, CA 91205-1109
Phone (818) 696-2156
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L a Surgical Institute Inc | Current | Accepting new patients | |
| Crown Home Care Inc | Current | Accepting new patients | |
| United Sonomed Radiology Inc. | Past | Accepting new patients |
Locations
124 S Glendale Ave
Glendale, CA 91205
Phone (818) 696-2156
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Crown Home Care Inc | Home health agency | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer (50%) Corporate Director (50%) W-2 Managing Employee (50%) |
Sep 1, 2018 Sep 1, 2018 Sep 1, 2018 Sep 1, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Glendale, CA
- NPI 1528540754
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
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.
-
- Primary Care Nurse Practitioner
- Glendale, CA
- NPI 1790242758
-
- Nurse Practitioner
- Glendale, CA
- NPI 1215860945
-
- Home Health Agency
- Glendale, CA
- NPI 1528540754
-
- Diagnostic Radiology Physician
- Tarzana, CA
- NPI 1033845292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388880000000",
"number": "1497176705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4618 FOUNTAIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291977",
"telephone_number": "323-953-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4618 FOUNTAIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291977",
"telephone_number": "323-953-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APIKYAN",
"first_name": "LUSINE",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-05",
"last_updated": "2014-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95000010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.