Active NPI
Talar Sepetjian
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2024064575
- Practice address
- 10780 Santa Monica Blvd Ste 105
Los Angeles, CA 90025-7613 - Phone
- (424) 521-1066
- Fax
- (424) 326-8553
- NPI assigned
- Sep 16, 2024
- Last updated
- Aug 15, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1204876 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP.AP.70047211-NP | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2024064575 | CA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209033670 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP033644 | PA |
Addresses
Primary practice location
10780 Santa Monica Blvd Ste 105
Los Angeles, CA 90025-7613
Mailing address
607 Foothill Blvd # 1492
La Canada Flintridge, CA 91011-3402
Phone (818) 418-9790
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241125002738 | CA | Practitioner - Nurse Practitioner | 8022543214 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024064575 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 209033670 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1204876 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J M Geiss DO Apc | Current | Accepting new patients | |
| California PHS PC | Current | Accepting new patients |
Locations
1420 E Palomar St
Chula Vista, CA 91913
1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904
520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266
2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051
Interoperability endpoints
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1649932781
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786752000000",
"number": "1558198507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 FOOTHILL BLVD # 1492",
"city": "LA CANADA FLINTRIDGE",
"state": "CA",
"postal_code": "910113402",
"telephone_number": "818-418-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD STE 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257613",
"telephone_number": "424-521-1066",
"fax_number": "424-326-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPETJIAN",
"first_name": "TALAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-16",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1204876",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "ARNP.AP.70047211-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "2024064575",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209033670",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP033644",
"primary": false
}
],
"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 Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.