Individual provider Active NPI

Samvel Movsesyan, AGPCNP

  • Gerontology Nurse Practitioner
  • North Hollywood, CA
National Provider Identifier
1568354256
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95036209 Issued in CA
Practice address
7015 Fulton Ave Apt 6
North Hollywood, CA 91605-4424
Phone
(818) 641-8340
NPI assigned
Jul 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95036209 CA Primary

Addresses

Primary practice location

7015 Fulton Ave Apt 6
North Hollywood, CA 91605-4424

Mailing address

7015 Fulton Ave Apt 6
North Hollywood, CA 91605-4424
Phone (818) 641-8340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15335 Michael Crest Dr
Santa Clarita, CA 91387-3913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95036209CAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1568354256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 FULTON AVE APT 6",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054424",
            "telephone_number": "818-641-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 FULTON AVE APT 6",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054424",
            "telephone_number": "818-641-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVSESYAN",
        "first_name": "SAMVEL",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95036209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.