Individual provider Active NPI

Perni Movsesian

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1548003593
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029583 Issued in CA
Practice address
4137 Verdugo Rd
Los Angeles, CA 90065-3820
Phone
(323) 344-9255
NPI assigned
Jun 17, 2024
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029583 CA Primary

Addresses

Primary practice location

4137 Verdugo Rd
Los Angeles, CA 90065-3820

Mailing address

4137 Verdugo Rd
Los Angeles, CA 90065-3820
Phone (323) 344-9255

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
I20241119004404 CA Practitioner - Nurse Practitioner 7113452723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center CurrentSince Oct 1, 2024 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Oct 1, 2024 Accepting new patients
Tri-State Community Healthcare Center Current Accepting new patients

Locations

11499 Bartlett Ave
Adelanto, CA 92301
Phone (760) 444-4258

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

1535 E Colorado St
Glendale, CA 91205

4137 Verdugo Rd
Los Angeles, CA 90065
Phone (323) 256-5800

820 W Broadway St
Needles, CA 92363
Phone (760) 326-0222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1548003593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653820",
            "telephone_number": "323-344-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653820",
            "telephone_number": "323-344-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVSESIAN",
        "first_name": "PERNI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.