Individual provider Active NPI

Tatiana Ageev, FNP

  • Family Nurse Practitioner
  • Studio City, CA
National Provider Identifier
1609666502
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034554 Issued in CA
Practice address
10965 Bluffside Dr Apt 464
Studio City, CA 91604-3395
Phone
(818) 287-4275
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95034554 CA Primary

Addresses

Primary practice location

10965 Bluffside Dr Apt 464
Studio City, CA 91604-3395

Mailing address

10965 Bluffside Dr Apt 464
Studio City, CA 91604-3395

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
I20250822003466 CA Practitioner - Nurse Practitioner 5496123119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Doc Integrated Med PCGroup PAC ID 3375990286, 15 clinicians

Practice addresses (Care Compare)

5 Hutton Centre Dr
Suite 950
Santa Ana, CA 92707-8744
Phone (855) 434-7763

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc CurrentSince Aug 7, 2025 Accepting new patients
K & T Diagnostic, Inc. CurrentSince Oct 14, 2022 Accepting new patients
Senior Doc Integrated Med, PC CurrentSince Aug 7, 2025 Accepting new patients

Locations

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1609666502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10965 BLUFFSIDE DR APT 464",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10965 BLUFFSIDE DR APT 464",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043395",
            "telephone_number": "818-287-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGEEV",
        "first_name": "TATIANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.