Phillip Oganesyan, FNP-C, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95024485 Issued in CA

Practice address

435 Arden Ave Ste 550
Glendale, CA 91203-4026

Phone

(818) 242-3916

NPI assigned

Mar 6, 2023

Last updated

Mar 6, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Universal Adult Day Health Care Center Inc.

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
  • NPI 1942313754
  NPD Authorized official
• Green Road Hospice, Inc.

  • Community Based Hospice Care Agency
  • Van Nuys, CA
  • NPI 1952910960
  NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1558061051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11127 WICKS ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 550",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034026",
            "telephone_number": "818-242-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGANESYAN",
        "first_name": "PHILLIP",
        "credential": "FNP-C, MSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oden Home Health, LLC
• Brianna Ruth Oexmann, NP
• Victor M Ogaldez, NP-C
• Oganesyan Dental Corporation
• Elita Oganesyan
• Nona N Oganisyan
• Liana Ogannessyan
• Seda Lynette Oganyan, FNP
• Novart Oghamian
• Shant Ogtanyan

• 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 Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.