Active NPI
Fidaleah Mayelian
- Home Health Registered Nurse
- Valencia, CA
National Provider Identifier
1528644531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 536148
- Practice address
- 25350 Magic Mountain Pkwy # 333
Valencia, CA 91355-1151 - Phone
- (310) 922-4595
- NPI assigned
- Mar 20, 2021
- Last updated
- Mar 20, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 536148 | CA | Primary |
Addresses
Primary practice location
25350 Magic Mountain Pkwy # 333
Valencia, CA 91355-1151
Mailing address
27519 Alta Knoll Dr
Santa Clarita, CA 91350-1900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@mynursingplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 536148 | CA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Invigorate Plus | Current | Accepting new patients | |
| M & E Medical Services | Home Health | Current | Accepting new patients |
Locations
25350 Magic Mountain Pkwy
#333
Valencia, CA 91355
Phone (310) 922-4595
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.
-
- Nursing Care Agency
- Valencia, CA
- NPI 1497331417
-
- Home Health Registered Nurse
- Valencia, CA
- NPI 1689250607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616198400000",
"number": "1528644531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27519 ALTA KNOLL DR",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913501900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25350 MAGIC MOUNTAIN PKWY # 333",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551151",
"telephone_number": "310-922-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYELIAN",
"first_name": "FIDALEAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-20",
"last_updated": "2021-03-20",
"certification_date": "2021-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "536148",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@mynursingplus.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mobile or computer",
"address_1": "25350 Magic Mountain Pkwy # 333",
"city": "Valencia",
"state": "CA",
"country_code": "US",
"postal_code": "913551151",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.