Individual provider Active NPI

Armen Pevazean

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1558868901
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Practice address
13609 Victory Blvd # 218
Van Nuys, CA 91401-1736
Phone
(818) 434-2414
NPI assigned
Apr 11, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

13609 Victory Blvd # 218
Van Nuys, CA 91401-1736

Mailing address

301 S 6TH St Apt C
Burbank, CA 91501-2328
Phone (310) 683-8369

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

Practice roles

OrganizationSpecialtyStatusNew patients
Priority MM Care Hospice Inc Hospice Care, Community Based PastSince Oct 17, 2021 Accepting new patients
Priority Hospice Service Inc Hospice Care, Community Based PastSince Oct 17, 2021 Accepting new patients
Alpha Omega Ventana Hospice LLC Hospice Care, Community Based Past Accepting new patients

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1558868901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 6TH ST APT C",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012328",
            "telephone_number": "310-683-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD # 218",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011736",
            "telephone_number": "818-434-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVAZEAN",
        "first_name": "ARMEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.