Rom Mendawi, AGACNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95030481 Issued in CA

Practice address

6850 Sepulveda Blvd Ste 217
Van Nuys, CA 91405-4466

Phone

(818) 901-7855

Fax

(818) 901-1915

NPI assigned

Jun 12, 2024

Last updated

Mar 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1598507105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 SEPULVEDA BLVD STE 217",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054466",
            "telephone_number": "818-901-7855",
            "fax_number": "818-901-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 SEPULVEDA BLVD STE 217",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054466",
            "telephone_number": "818-901-7855",
            "fax_number": "818-901-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDAWI",
        "first_name": "ROM",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-12",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95030481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sareen Melikian
• Gaspar Melikyan, PHARM.D.
• Andriy Melnyk, DC
• Muzammil Memon, MD
• Memorial Pathology Medical Group, Inc.
• Ana Rosa Mendez, MSW
• Angelica Mendez
• Elizabeth Mendez
• Karina Mendez
• Mariscela Mendez

• Gerontology Nurse Practitioner in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.