Individual provider Active NPI

Hovhannes Tsaturyan, NP

  • Nurse Practitioner
  • Ontario, CA
National Provider Identifier
1578321089
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F12230528 Issued in CA
Practice address
1131 W 6TH St Ste 250
Ontario, CA 91762-1108
Phone
(833) 362-7837
NPI assigned
Mar 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F12230528 CA Primary

Addresses

Primary practice location

1131 W 6TH St Ste 250
Ontario, CA 91762-1108

Mailing address

12343 Sheldon St
Sun Valley, CA 91352-2435
Phone (818) 263-9294

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409001906 CA Practitioner - Nurse Practitioner 5294173365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Masters Medical Group IncGroup PAC ID 8224307053, 12 clinicians

Practice addresses (Care Compare)

1131 W 6TH St
Suite 230
Ontario, CA 91762-1113
Phone (833) 362-7837

1131 W 6TH St
Suite 250
Ontario, CA 91762-1108
Phone (661) 383-7136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12230528CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Masters Medical Group Inc CurrentSince Mar 9, 2024 Accepting new patients

Locations

1131 W 6th St
Ste 230
Ontario, CA 91762
Phone (833) 362-7837

1131 W 6th St
Ste 250
Ontario, CA 91762
Phone (833) 362-7837

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1578321089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12343 SHELDON ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522435",
            "telephone_number": "818-263-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 W 6TH ST STE 250",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621108",
            "telephone_number": "833-362-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSATURYAN",
        "first_name": "HOVHANNES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F12230528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.