Active NPI
Armen Pevazean
- Community Based Hospice Care Agency
- Van Nuys, CA
National Provider Identifier
1558868901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Practice address
- 13609 Victory Blvd # 218
Van Nuys, CA 91401-1736 - Phone
- (818) 434-2414
- NPI assigned
- Apr 11, 2018
- Last updated
- Jun 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority MM Care Hospice Inc | Hospice Care, Community Based | Past | Accepting new patients |
| Priority Hospice Service Inc | Hospice Care, Community Based | Past | 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.
-
dba Suncrest Hospice San Diego
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1215428461
Hospice Care, Community Based
-
- Community Based Hospice Care Agency
- Van Nuys, CA
- NPI 1114680279
Hospice Care, Community Based
-
- Community Based Hospice Care Agency
- Van Nuys, CA
- NPI 1083377154
Hospice Care, Community Based
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.