Individual provider Active NPI

Suzanna Stepanian, NP

  • Family Nurse Practitioner
  • Glendale, CA
National Provider Identifier
1609585157
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023233 Issued in CA
Practice address
800 S Central Ave Ste 207
Glendale, CA 91204-4388
Phone
(747) 215-6998
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95023233 CA Primary

Addresses

Primary practice location

800 S Central Ave Ste 207
Glendale, CA 91204-4388

Mailing address

800 S Central Ave Ste 207
Glendale, CA 91204-4388

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
I20230105002036 CA Practitioner - Nurse Practitioner 4880076165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caresway IncGroup PAC ID 2062894348, 2 clinicians

Practice addresses (Care Compare)

800 S Central Ave
Suite 207
Glendale, CA 91204-4388
Phone (747) 215-6998

Hospital & facility affiliations

  • Sunrise Home Health Services, Inc Home health agency, Glendale, CA, CCN 559099
  • Narvista Home Health, Inc Home health agency, Glendale, CA, CCN 559475
  • Cristal Home Health Home health agency, Glendale, CA, CCN 757152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caresway Inc Current Accepting new patients
Caresway Inc Single Specialty CurrentSince Jan 14, 2022 Accepting new patients

Locations

800 S Central Ave
Ste 207
Glendale, CA 91204
Phone (747) 215-6998

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1609585157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 207",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 207",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044388",
            "telephone_number": "747-215-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANIAN",
        "first_name": "SUZANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.